Pseudo-Meigs Syndrome Due to Subserosal Leiomyoma Diagnosed by MR Imaging: Case Report
نویسندگان
چکیده
cologic origin is sometimes similar to that of disseminated malignant neoplasms (1). This is usually the case in patients with Meigs or pseudo-Meigs syndrome. Meigs syndrome was defined in 1954 as a fibroma or fibromalike tumor associated with hydrothorax and ascites, which resolved on removal of the tumor. Pseudo-Meigs syndrome has an identical clinical constellation but the tumor types which occur were not initially described by Meigs (1-3). Among such cases, uterine leiomyomas with associated ascites and hydrothorax are particularly rare and although serum levels of carcinogenic antigen (CA)-125 are as elevated in these patients as in malignant disease, reports have stated that the effusions disappeared spontaneously after removal of the leiomyoma, and the patient was cured (3-5). We report a case of pseudo-Meigs syndrome due to a large subserosal leiomyoma in a patient with a high serum CA-125 level. Clinical examination at first suggested disseminated malignant disease, but MR imaging showed that the mass had the typical appearance of uterine leiomyoma, with ascites and pleural effusion but no evidence of malignancy.
منابع مشابه
Magnetic resonance imaging findings in pseudo-Meigs' syndrome associated with a large uterine leiomyoma: a case report
INTRODUCTION Pseudo-Meigs' syndrome is a rare pathological entity characterized by the presence of a pelvic mass other than an ovarian fibroma. The mass is associated with ascites with or without hydrothorax. CASE PRESENTATION We describe the case of a 41-year-old Caucasian woman with a large uterine leiomyoma associated with massive ascites. A magnetic resonance imaging scan showed a large s...
متن کاملAssociation of pulmonary leiomyoma with seborrheic keratosis
A 58 year old man was referred to suegery clinic due to dyspnea and left sided chest wall pain for three months duration.during the last 18 months some monomorph disseminated hyperkeratotic skin lesions appeared on his face and trunk.after worlup and evaluation of the patient,he underwent thoracotomy with indication of presence of a mass in the left lung.the operative finding was a huge solid r...
متن کاملA giant subserosal uterine leiomyoma mimicking an abdominal mass: multimodal imaging data.
Giant uterine leiomyomas are extremely rare neoplasms and are challenging both diagnostically and therapeutically. A 49-year-old premenopausal female presented at our Department complaining of abdominal pain and distention for several years. Ultrasound (US), color Doppler US, abdominal computed tomography imaging after administration of contrast material, and abdominal magnetic resonance imagin...
متن کاملThe use of laparoscopic rectopexy to manage rectal prolapse with Pseudo‐Meigs’ syndrome in a 64‐year‐old female: a case report
We report a rare case of rectal prolapse with Pseudo-Meigs' syndrome in which laparoscopic bilateral oophorectomy and rectopexy were performed simultaneously and resulted in improved quality of life due to the loss of ascites and the repair of rectal prolapse. Laparoscopic surgery is feasible for rectal prolapse with Pseudo-Meigs' syndrome.
متن کاملA Case of Torsion of a Subserosal Leiomyoma
Uterine leiomyoma is one of the most common gynecological tumor, whereas acute torsion of the uterine leiomyoma is very rare. We report a case of subserosal leiomyoma that was first detected by ultrasonography, and further confirmed as torsion of subserosal leiomyoma by laparoscopic surgery.
متن کامل