Bilateral ovarian fibromas associated with meigs syndrome: report of a case and review of the literature

Authors

  • Ghada S. Al-Sakkal Department of Obstetrics & gynecology , College of Medicine, Hawler Medical University, Erbil, Iraq .
  • Noel S. Al-Sakkal Media Diagnostic Center, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2012.0013

Keywords:

Meigs syndrome, ovarian fibroma, Ascitis, Hydrothorax

Abstract

Objective: To present a case of bilateral ovarian fibromas associated with Meigs syndrome.
Design: Descriptive case study
Setting: Soran private hospital & Medya diagnostic centre in Erbil.
Patient: A 49-year-old woman presented with bilateral ovarian masses, ascitis and hydrothorax.
Intervention: Surgical removal of both ovaries with 15 cm left ovarian mass & 5.5 right ovarian mass with total abdominal hysterectomy.
Results: Histopathological examination revealed bilateral ovarian fibromas with foci of calcification
Conclusion: The clinician should be aware about rare benign syndromes, like Meigs, which may mimic malignancy when ovarian masses associated with ascitis and mislead the diagnosis and management plan.

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References

Lurie S. Meigs syndrome: The history of the eponym. Eur J Obstet Gynecol Reprod Biol. 2000; 92:199-204.

Gargano G, DeLano M, Zrro F, Fanizza G, Mattiola V, Schittulli F. Ovarian fibroma: Our experience of 34 cases. Eur Radiol 2004; 14:798-804.

Novoa Vargas A, Tenorio Gonzaliz F, Gomez Pedroso J, Torres Martinez A Meigs syndrome. A clinical case and review of the literature. Gynecol Obstet. 1994; 62:217-21.

Cisse CT, Ngom PM, Sangare M, Ndong M, Moreau JC. Ovarian fibroma associated with Demons-Meig’s syndrome and elevated CA125. Eur J Gynecol Oncol. 2003; 24:429-32.

Sivanesaratnam V, Dutta R, Jayalakshmi P. Ovarian fibroma-clinical and histopathologic characteristics. Int J Gynecol Obstet. 1990; 33:243-7.

Chan CY, Chan SM, Liauw L. Large abdominal mass in young girl. Br. J Radiol 2000; 73:913-4.

Samanth KK, Black WC. Benign stromal tumor associated with free peritoneal fluid. Am J Obstet Gynecol 1970; 107:538-45.

Gorlin RJ. Nevoid basal cell carcinoma syndrome. Medicine (Baltin). 1987:66:98-113.

Kimonis VE, Goldstein AM, Pastakia B .Clinical manifestation in 105 persons with nevoid basal cell carcinoma syndrome. Am J Med Genet. 1997; 69:299-308.

Gee DC, Russell P. The pathological assessement of ovarian neoplasms: The sex cord stromal tumors. Pathology 1981; 13:235-55.

Saul PB. Sex cord stromal tumors. Clin Obstet Gynecol 1985; 28:839-46.

Stephenson WM, Laing PC. Sonography of ovarian fibromas Am J Roentgenol 1985; 144:1239-40.

Schwartz RK, Levine D, Hatabu H, et al. Ovarian fibroma: Finding by contrast-enhanced MRI. Abdom Imaging 1997; 22:535-7.

Takehara M, Saito T, Manase K. Hemorrhagic infarction of fibroma MRI appearance. Arch Gynecol Obstet 2002; 266:48-9.

Abad A, Cazorla E, Ruiz F, Aznar I, Asins E, Lixiona J. Meigs syndrome with elevated CA125: Case report and review of the literature. Eur J Obstet Gynecol Reprod. Biol 1999; 82:97-99.

Abu-Hijleh MF, Habbal DA, Moqattash ST: The role of diaphragm in lymphatic absorption from the peritoneal cavity. J Anat 1995; 186(Pt3): 453-467.

Souza IRMF, Faintuch S, Godman SM. Evaluation of pelvic masses using MRI. Rev Imagen 2003; 25:5-11.

Ha HK, Baek SY, Kin HH. Krukenberg tumors: Comparison with primary ovarian tumor. J Comput Assist tomogr. 1996;20:393-8.

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Published

2012-04-01

How to Cite

Al-Sakkal, G. S., & Al-Sakkal, N. S. (2012). Bilateral ovarian fibromas associated with meigs syndrome: report of a case and review of the literature. Zanco Journal of Medical Sciences (Zanco J Med Sci), 16(1), 78–81. https://doi.org/10.15218/zjms.2012.0013

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Original Articles