“A unilateral ovarian tumour with ascites and raised CA-125 -The malignant mimicry of MEIG'S syndrome. A case review and review of literature.”

Abstract

Meig's syndrome which is characterized by ovarian fibroma, ascites and pleural effusion can be misdiagnosed as a malignant condition especially with raised levels of CA125. We present a case of a 28- year-old lady presenting with abdominal swelling and discomfort. Investigations revealed elevated CA- 125, right-sided pleural effusion and the presence of a pelvic mass. Histopathologic examination showed this pelvic mass to be an ovarian fibroma. Its significance lies in the fact that the presence of a pelvic tumour with associated ascites and pleural effusion should not be considered an omnious sign. We comment on the outcome of this case and briefly review Meig's syndrome.