Meigs' syndrome with fibroma of the ovary: A case report.

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Recently, the definition of Meigs' syndrome was extended from ovarian tumor to various lower abdominal tumors complicated with ascites and hydrothorax. In one of our patient's Meigs' 'syndrome resulted from fibroma of the right ovary. She was a50 year-old woman, married, gravida 2, para 2, who complained of swelling of the lower abdomen. Examination disclosed bilateral pleural effusion and ascites. Her abdomen was diffusely distended, and a rigid mass was palpable from the pelvis to the umbilicus. Abdominal total hysterectomy with bilateral salpingo-oophorectomy was carried out. A right ovarian mass (weighing 800g) was proved histologically to be a fibroma. Removal of the mass was followed by subsidence of the pleural effusion and the ascites. The serum levels of CAl25 and SLX were elevated preoperatively, but they returned to normal range after surgery. [Adv Obstet Gynecol 45 (4); 465-472, 1993 (H5.7)]
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