A 52yearold african woman with demons meigs syndrome was. When benign ovarian fibroma is associated with ascites andor pleural effusion it is termed 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. Ovarian malignancies with cytologically negative pleural and. In 1900, the first therapeutical surgical approach was developed by albert jean octave demons to treat 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. 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. 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. Ultrasound and scannography showed it was probably a. 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 authors report a case of meigs syndrome with elevated ca 125 level. 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.
A 33yearold patient presented with ascites and a right abdominal mass. Ii sagit dune ascite, dune pleuresie et dune tumeur ovarienne benigne fibrothecome. Not to be confused with meige syndrome or meige disease. The case of a 33 yearold female patient who presented rapid weight loss and a quickly increasing abdominal circumference is. Joe vincent meigs, 18921963, american gynaecologist. Pseudomeigssyndrome or atypical meigssyndrome occurs when. Meigs syndrome in a young woman with a normal serum ca. Meigs syndrome includes ascites, hydrothorax and benign ovarian tumor.
Mar 24, 2016 meigs syndrome is defined as the triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor. We report a case of demonsmeigs syndrome in a woman aged 51 years. Demons meigs syndrome associated with a seminoma of ovary. William and harry have a secret stepsister but theres a good reason why shes kept hidden duration. Demonsmeigs syndrome is a benign tumor of the ovary. It is a rare clinical entity, which is also considered to be an uncommon complication of benign leiomyomas of the female genital tract. Demons meigs syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a rightsided hydrothorax. Les auteurs soulignent les caracteristiques cliniques. Meigs syndrome is too restrictive and we propose that it should be broadenedand perhapsrenamed. Meigs separated his definition into true meigs syndrome, which he preferred to call demonsmeigs syndrome and pseudomeigs syndrome distinguished by different tumor. Triad of ascites with hydrothorax in association with benign ovarian tumor, that is cured after tumor resection. 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.
Ultrasound and scannography showed it was probably a solid ovarian tumor measuring 175 mm. Meigs syndrome in a young woman with a normal serum ca125 level. It is very rare and its physiopathology remains obscure. Anesthetic considerations in demons meigs syndrome. Ovarian malignancies with cytologically negative pleural. Abdominal examination revealed a ported that 9 of 50 patients with ovarian cysts were cured. This is known as meigs syndrome, a name first suggested by rhoads and terrel in 1937. Pseudomeigs syndrome secondary to an ovarian germ cell tumor.
Giant ovarian fibroma with associated meigs syndrome in. Sep 27, 2014 demons meigs syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a rightsided hydrothorax. 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 condition is being treated with botulinum toxin. This nulligravid patient had never had gynecological problems. Pdf pleural effusion in meigs syndrometransudate or. Demons meigs syndrome information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. Les difficultes diagnostiques preoperatoires sont discutees. Ovarian fibromas constitute the majority of the benign tumors seen in meigs syndrome. Meigs syndrome is defined as the triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor. Respiratory, hemodynamic, metabolic problems and abdominal hypertension are the main anesthetic risks. This is a case report of meigs syndrome with elevated ca 125 level. Our knowledge on meigs syndrome comes mainly from case reports and according to krenke et al. However, patients with meigs syndrome can also have elevated serum ca 125 levels.
The triad of pleural effusion, ascites, and benign ovarian fibroma is rare. Demonsmeigs syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a rightsided hydrothorax 1, 2. Although meigs syndrome mimics a malignant condition, it is a benign disease and has a very good prognosis if properly managed. 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. Pleural effusion in meigs syndrometransudate or exudate. Often, the ovarian mass is accompanied by elevated cancer antigen125, both in serum and in pleural and peritoneal fluid. Named after joe vincent meigs 18921963, american obstetrician and gynecologist. 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. Meigs syndrome resolves after the resection of the tumor. Demons, meigs, fibrome ovarien, tumeur pelvienne benigne, hydrothorax, pseudosyndrome. The full text of this article is available in pdf format. Meigs syndrome is defined as the presence of ascites and pleural effusion in association with a benign, usually solid ovarian tumor.
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. Pdf dosage serique des chaines legeres libres archive, sur. Classic meigs syndrome, nonclassic and demons meigs syndrome, pseudo meigs syndrome, pseudopseudo meigs syndrome, atypical or incomplete meigs syndrome. Demonsmeigs syndrome definition of demonsmeigs syndrome. Meigssyndrome is defined as a hydrothorax with ascites and benign ovarian tumor, both of which resolve on removal of the tumor. Demonsmeigs syndrome associated with a seminoma of ovary. Meigs syndrome definition of meigs syndrome by medical. Fibromyomata of the uterus with hemothoraxmeigs syndrome.
In 1937, meigs described a syndrome of ovarian fibromas with ascites and hydrothorax that quickly resolved on removal of the fibroma. Nonclassic meigs syndrome and demonsmeigs syndrome. Meigs syndrome, however, is a diagnosis of exclusion, only after ovarian carcinoma is ruled out. We report a case of demons meigs syndrome in a woman aged 51 years. Demons meigs 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. Meige syndrome healed through ship facilitation youtube.
Pseudomeigs syndrome secondary to an ovarian germ cell. In the vast majority 8090% of cases, the primary tumor is an ovarian fibroma. If an internal link led you here, you may wish to change the link to point directly to the intended article. In some cases it could be confused with a malignant disease.
This disambiguation page lists articles associated with the title meigs. A 52yearold african woman with demons meigs syndrome. It was discovered following a right pleural effusion syndrome with ascites and an abdominopelvic mass. Demons of bordeaux, france, in 1887 regenerally appeared well. Pseudomeigs syndrome in association with primitive. Meigs syndrome litfl medical blog medical eponym library. The association of pseudomeigs syndrome with pri mitive peritoneal tumor is rare. Nonclassic meigs syndrome and demons meigs syndrome. Current literature reports on pseudosyndromes of demons meigs including genital malignancies with negative cytology. 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.
100 1638 523 1071 758 191 152 1423 707 1384 995 881 173 319 858 195 160 833 1441 1332 191 591 1221 1027 870 615 824 968 491 751 1378 1356 590 551 978 356 747 1299 1091 804 1051 786 680 986 1179