A case of pseudo-Meigs syndrome mismanaged as peritoneal carcinomatosis

This paper reports the case of a woman with uterine fibroids and recurrent ascites, which were managed by her clinical oncologist as peritoneal carcinomatosis, and treated with repeated tapping and immunotherapy. She was finally referred to a gynecologist who treated her with a laparoscopic hysterec...

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Bibliographic Details
Main Author: Wu Shun Felix Wong (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2014-11-01T00:00:00Z.
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Summary:This paper reports the case of a woman with uterine fibroids and recurrent ascites, which were managed by her clinical oncologist as peritoneal carcinomatosis, and treated with repeated tapping and immunotherapy. She was finally referred to a gynecologist who treated her with a laparoscopic hysterectomy with bilateral salpingo-oophorectomy for severe anemia, aiming to remove her large fibroid as well as to exclude ovarian or uterine malignancy. Her symptoms disappeared after the surgery without recurrence of ascites at 2 years' follow-up. Although disseminated malignant ascites can exist in a patient with fibroids, clinicians should be aware of this rare pseudo-Meigs syndrome when no clinical evidence of malignancy was confirmed by investigations. Otherwise, it may mislead the diagnosis and management.
Item Description:2213-3070
10.1016/j.gmit.2014.02.007