Ultrasound and scannography showed it was probably a. However, patients with meigs syndrome can also have elevated serum ca 125 levels. Meigs syndrome resolves after the resection of the tumor. Sep 27, 2014 demons meigs syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a rightsided hydrothorax. Demons, meigs, fibrome ovarien, tumeur pelvienne benigne, hydrothorax, pseudosyndrome. Ovarian malignancies with cytologically negative pleural and. Meigs syndrome is defined as the presence of ascites and pleural effusion in association with a benign, usually solid ovarian tumor.
The demons meigs syndrome, although it strongly mimics the clinical picture of malignant metastatic ovarian cancer, remains a disease with benign prognosis after surgical tumor resection. Not to be confused with meige syndrome or meige disease. Ovarian fibromas constitute the majority of the benign tumors seen in meigs syndrome. Demonsmeigs syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a rightsided hydrothorax 1, 2. Meigs syndrome is defined as the triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor. A 52yearold african woman with demons meigs syndrome was. This is a case report of meigs syndrome with elevated ca 125 level. In 1937, meigs described a syndrome of ovarian fibromas with ascites and hydrothorax that quickly resolved on removal of the fibroma. Meigs syndrome includes ascites, hydrothorax and benign ovarian tumor. Giant ovarian fibroma with associated meigs syndrome in. A 33yearold patient presented with ascites and a right abdominal mass. Meigssyndrome is defined as a hydrothorax with ascites and benign ovarian tumor, both of which resolve on removal of the tumor.
This nulligravid patient had never had gynecological problems. It is very rare and its physiopathology remains obscure. Pseudomeigs syndrome in association with primitive. We report a case of demonsmeigs syndrome in a woman aged 51 years. This disambiguation page lists articles associated with the title meigs.
Joe vincent meigs, 18921963, american gynaecologist. Demons meigs syndrome associated with a seminoma of ovary. Pleural effusion in meigs syndrometransudate or exudate. Nonclassic meigs syndrome and demonsmeigs syndrome. The term nonclassic meigs syndrome was applied for patients with ascites and pleural effusion associated with benign ovarian, fallopian tube, or broad ligament tumors other than those included in the definition of classic meigs syndrome. Meigs separated his definition into true meigs syndrome, which he preferred to call demonsmeigs syndrome and pseudomeigs syndrome distinguished by different tumor types.
Ovarian malignancies with cytologically negative pleural. Nevertheless, a demons meigs syndrome or a demons pseudosyndrome should be suspected when faced with a negative cytologic analysis of the ascitic and pleural effusion and no peritoneal implant on ctscan. The term nonclassic meigs syndrome was applied for patients with ascites and pleural effusion associated with benign ovarian, fallopian tube, or broad ligament tumors other than those included in the definition of classic meigs syndrome table. Ii sagit dune ascite, dune pleuresie et dune tumeur ovarienne benigne fibrothecome. Meige syndrome healed through ship facilitation youtube. Pseudomeigssyndrome or atypical meigssyndrome occurs when. Demonsmeigs syndrome is a benign tumor of the ovary. Demons meigs syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a rightsided hydrothorax 1, 2. Les difficultes diagnostiques preoperatoires sont discutees. Demonsmeigs syndrome associated with a seminoma of ovary. Abdominal examination revealed a ported that 9 of 50 patients with ovarian cysts were cured.
In 1937, meigs arrived at the same findings concerning ovarian fibromas and granulosa cell tumours, hence the name of demons meigs which was given to this syndrome with the agreement of meigs. Classic meigs syndrome, nonclassic and demons meigs syndrome, pseudo meigs syndrome, pseudopseudo meigs syndrome, atypical or incomplete meigs syndrome. Meigs syndrome is too restrictive and we propose that it should be broadenedand perhapsrenamed. In the vast majority 8090% of cases, the primary tumor is an ovarian fibroma.
In some cases it could be confused with a malignant disease. The authors report a case of meigs syndrome with elevated ca 125 level. Demons meigs syndrome is a benign tumor of the ovary. When benign ovarian fibroma is associated with ascites andor pleural effusion it is termed meigs syndrome. Les auteurs soulignent les caracteristiques cliniques. Meigs syndrome in a young woman with a normal serum ca. Pseudomeigs syndrome secondary to an ovarian germ cell. Anesthetic considerations in demons meigs syndrome. Meigs syndrome litfl medical blog medical eponym library. Pdf pleural effusion in meigs syndrometransudate or. In medicine, meigs syndrome, also meigs syndrome or demonsmeigs syndrome, is the triad of ascites, pleural effusion, and benign ovarian tumor ovarian fibroma, fibrothecoma, brenner tumour, and occasionally granulosa cell tumour. This syndrome has been described 50 years before by demons as the association of a womans benign genital tumor with thoracic andor abdominal effusion without cancerous cells. Demons meigs syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a rightsided hydrothorax.
We report a case of demons meigs syndrome in a woman aged 51 years. Triad of ascites with hydrothorax in association with benign ovarian tumor, that is cured after tumor resection. In 1900, the first therapeutical surgical approach was developed by albert jean octave demons to treat meigs syndrome. A 52yearold african woman with demons meigs syndrome.
Meigs syndrome is named after joe vincent meigs, an american gynecologist who defined meigs syndrome as the presence of ascites, hydrothorax, association with benign ovarian tumor. Demonsmeigs syndrome definition of demonsmeigs syndrome. Our knowledge on meigs syndrome comes mainly from case reports and according to krenke et al. Meigs syndrome an accumulation of fluid in the abdomen or in the space between the lungs and the chest wall pleural effusion associated with a fibroma or other tumour of an ovary. Named after joe vincent meigs 18921963, american obstetrician and gynecologist.
Although meigs syndrome mimics a malignant condition, it is a benign disease and has a very good prognosis if properly managed. N2 the association of a benign ovarian tumor with ascites and hydrothorax that resolve after tumor resection is known as meigs syndrome, and its importance was first emphasized by meigs and cass in 1937. If an internal link led you here, you may wish to change the link to point directly to the intended article. Meigs separated his definition into true meigs syndrome, which he preferred to call demonsmeigs syndrome and pseudomeigs syndrome distinguished by different tumor. It is a rare clinical entity, which is also considered to be an uncommon complication of benign leiomyomas of the female genital tract.
It was discovered following a right pleural effusion syndrome with ascites and an abdominopelvic mass. Demons of bordeaux, france, in 1887 regenerally appeared well. Respiratory, hemodynamic, metabolic problems and abdominal hypertension are the main anesthetic risks. When the genital tumor is a fibroma or a fibrothecoma or a granulosa cells tumor,and only in these cases,it is a demons meigs syndrome.
The association of pseudomeigs syndrome with pri mitive peritoneal tumor is rare. Current literature reports on pseudosyndromes of demons meigs including genital malignancies with negative cytology. Nonclassic meigs syndrome and demons meigs syndrome. Demons meigs syndrome information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. William and harry have a secret stepsister but theres a good reason why shes kept hidden duration. The case of a 33 yearold female patient who presented rapid weight loss and a quickly increasing abdominal circumference is. The full text of this article is available in pdf format.
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