J Med Assoc Thai 2002; 85 (11):1240

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Pseudo-Meigs' Syndrome Secondary to Subserous Myoma Uteri : A Case Report
Sinawat S Mail, Seejom K

A 45 year-old Thai woman, gravida 5, para 5 presented with a huge pelvic mass as well as
ascites and right pleural effusion. Right thoracocentesis was performed pre-operatively and malignant
cells could not be detected on the cytological examination of the pleural fluid. Surgical exploration
revealed a large pedunculated subserous leiomyoma of the uterus without malignant transformation.
Total abdominal hysterectomy with bilateral salpingooophorectomy and appendectomy were per-
formed. Both ascites and pleural effusion resolved post-operatively and did not recur during the 12-
month follow-up. This case demonstrated the extremely rare case of pseudo-Meigs' syndrome caused
by a subserous uterine leiomyoma.
Key word : Meigs' Syndrome, Pseudo-Meigs' Syndrome, Myoma Uteri

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