Concentrated ascites re‐infusion therapy for pseudo‐Meigs' syndrome complicated by massive ascites in large pedunculated uterine leiomyoma

Pseudo‐Meigs' syndrome accompanied by massive ascites in uterine leiomyoma is rare. We encountered a rare case of a 37‐year‐old, nulliparous woman with a lower abdominal tumor and severe abdominal distention due to massive ascites. Serum cancer antigen 125 and vascular endothelial growth factor...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2014-07, Vol.40 (7), p.1944-1949
Main Authors: Yonehara, Yukie, Yanazume, Shintaro, Kamio, Masaki, Togami, Shinichi, Tasaki, Takashi, Douchi, Tsutomu
Format: Article
Language:English
Subjects:
Adult
Ascites - diagnosis
Ascites - physiopathology
Ascites - therapy
Ascitic Fluid
concentrated ascites re‐infusion therapy
Diagnosis, Differential
Female
Fluid Therapy
Humans
Infusions, Parenteral
Japan
Leiomyoma - diagnosis
Leiomyoma - pathology
Leiomyoma - surgery
massive ascites
Meigs Syndrome - diagnosis
Neoadjuvant Therapy
pedunculated uterine leiomyoma
Pleural Effusion - diagnosis
Pleural Effusion - physiopathology
pseudo‐Meigs' syndrome
Severity of Illness Index
Syndrome
Therapies, Investigational
Treatment Outcome
Tumor Burden
Uterine Neoplasms - diagnosis
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
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Summary:Pseudo‐Meigs' syndrome accompanied by massive ascites in uterine leiomyoma is rare. We encountered a rare case of a 37‐year‐old, nulliparous woman with a lower abdominal tumor and severe abdominal distention due to massive ascites. Serum cancer antigen 125 and vascular endothelial growth factor levels were elevated to 1007.9 U/mL and 103 pg/mL, respectively. She was tentatively diagnosed with ovarian cancer. Emergency concentrated ascites re‐infusion therapy was performed to improve dyspnea, abdominal pain, and her preoperative respiratory condition. Concentrated ascites re‐infusion therapy eliminated dyspnea and abdominal discomfort without decreasing serum albumin levels. The patient underwent laparotomy, which revealed a fist‐sized pedunculated uterine leiomyoma arising from the right uterine fundus. Myomectomy was performed. Pseudo‐Meigs' syndrome mimics advanced ovarian cancer due to massive ascites and markedly elevated serum cancer antigen 125 and vascular endothelial growth factor levels. Concentrated ascites re‐infusion therapy was effective in improving the subjective symptoms of pseudo‐Meigs' syndrome and the patient's preoperative condition.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.12448