CASE REPORT. Meigs’ syndrome with elevated CA case report. Síndrome de Meigs com CA elevado: relato de caso. Sabas Carlos Vieira; Leonardo. 31 Dec Meigs’ syndrome is diagnosed based on a triad of an ovarian fibroma, A Demons of Bordeaux, France, gave a report to the Société de. 4 Apr We present a case of Meigs’ syndrome due to right ovarian fibroma with elevated CA .. Síndrome de Meigs: presentatión de dos casos.
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Postgrad Med J ;74 It is also increased in vascular invasion, tissue destruction and inflammation associated with malignant disease. Due to clinical suspicion of malignant ovarian tumor, the patient was submitted to exploratory laparotomy that brought out evidence of the presence of serohematic ascites and a left ovarian tumor measuring 14 x 12 x 8 cm with a solid lobular appearance Figure 1.
It was coined as Meigs’ syndrome in by Rhodes and Terrell. On gynecological examination, a uterus of normal form, size and consistency, the left adnexum was without alteration on examination. The causes of the ascites and pleural effusion are poorly understood. Meigz exact pathogenesis of the ascites is still unknown.
Meigs’ syndrome with elevated CA case report
A continuous process exists of filtration of liquid from the capillary vessels to the space subpleural, sindrkme give there to the cavity pleural.
About Blog Go ad-free. Report of Four Cases and Literature Reviews. The connection between the pelvic tumor and ascites is confirmed by the rapid resolution of abdominal and pleural fluid after removal of the tumor.
National Center for Biotechnology InformationU. The histological types reported have been fibroma 15 casescellular fibroma 4 casesthecoma 4 casesfibroma thecoma 3 casesgranulosa cell tumor 1 caseand benign Brenner tumor 1 case. Author information Copyright and License information Disclaimer.
Only 14 cases of Meigs’ syndrome with elevated CA levels have been described in the literature. In spite of the valuable contribution of medical imaging techniques, the presumptive diagnosis sindrkme Meigs’ syndrome is made clinically. Pseudo-meigs syndrome secondary to bilateral ovarian endometroid carcinomas.
It can, however, be elevated in benign disorders, such as endometriosis, pelvic inflammatory disease and uterine leiomyoma. InMeigs and Cass described 7 cases of ovarian fibromas associated with ascites and pleural effusion. Efskind and Terada et al theorize that ascitic fluid is transferred via transdiaphragmatic lymphatic channels.
None Conflict of interest: Ovarian fibroma with ascites and hydrothorax Meigs syndrome: A case report and review of the literature. Log in Sign up. Meigs’ syndrome with elevated CA CA antigen is a glycoprotein with a high molecular weight and is recognized by a monoclonal antibody OC In medicineMeigs’ syndromealso Meigs syndrome or Demons-Meigs syndromeis the triad of ascitespleural effusionand benign ovarian tumor ovarian fibromafibrothecoma, Brenner tumourand occasionally granulosa cell tumour.
This website also contains material copyrighted by 3rd parties. The pathogenesis of the pleural and ascitic fluids and the importance of CA are discussed. Ovarian tumors are more prevalent in women in upper socioeconomic groups. Open in a separate window. J Gynecol Obstet Biol Reprod ; 27 5: None Isndrome of first submission: It is expressed in the amnion and embryonic coelomic epithelium [ 11 ].
The patient didn’t present any other symptoms. The pathophysiology of the pleural effusion is also speculative with some suggesting ascitic fluid being transferred via trans-diaphragmatic lymphatic channels into the pleural space.
Need a Curbside Consult? Blockage of these lymphatics prevented accumulation of pleural fluid and caused an increase in ascitic fluid. Meigs syndrome, however, is a diagnosis of exclusion, only after ovarian carcinoma is ruled out. To quiz yourself on this article, log in to see multiple choice questions.
The patient was discharged from our Center after 20 days. Introduction Meigs’ syndrome is diagnosed based on a triad of an ovarian fibroma, pleural effusion and ascites. Case Report A year-old Thai woman meigss admitted to another hospital because of progressive dyspnea, abdominal distention and weight loss for 8 months.