A case report of ovarian fibroids torsion with ascites and pleural effusion: case report
Background: Ovarian fibroma is the most common benign solid tumor of the ovary. The most common symptoms are abdominal discomfort and pain. Ovarian fibroids are associated with Meigs syndrome in 1% to 10% of cases. The aim of study is report of a case of Meigs syndrome Case presentation: A 65-year-o...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2019-05-01
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| Series: | Tehran University Medical Journal |
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| Online Access: | http://tumj.tums.ac.ir/article-1-9642-en.html |
| _version_ | 1818765887252987904 |
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| author | Seyede Houra Mousavi Vahed Maliheh Afiat Fahimeh Alizadeh Anahita Hamidi Laien Zeynab Khademi Azin Nikoozadeh |
| author_facet | Seyede Houra Mousavi Vahed Maliheh Afiat Fahimeh Alizadeh Anahita Hamidi Laien Zeynab Khademi Azin Nikoozadeh |
| author_sort | Seyede Houra Mousavi Vahed |
| collection | DOAJ |
| description | Background: Ovarian fibroma is the most common benign solid tumor of the ovary. The most common symptoms are abdominal discomfort and pain. Ovarian fibroids are associated with Meigs syndrome in 1% to 10% of cases. The aim of study is report of a case of Meigs syndrome
Case presentation: A 65-year-old menopausal woman who complained of abdominal pain was referred to our academic hospital of Mashhad, Iran, in April 2018. In abdominal examination, a soft mass with size of 200×100 mm, was detected. Also leukocytosis and increase in CRP was observed. Marker CA125 was higher than 200. In CT scan in right adnexa heterogeneous mass 170×100 mm with enhancement was reveled. pleural effusion was reported in the both lungs and collapse of underlying lung tissue in Chest X-ray. Explorative laparotomy was performed. Ascites and inflamed omentum covered the surface of right ovary was detected. The huge solid-cystic hemorrhagic, irregular mass with a specific pedicle that enclosed in the capsule in right adnexa was seen. Right salpingo-oophorectomy was performed. The result of final pathologic was benign proliferative lesions of mitotic fibroblasts were reported according to ovarian fibroma.
Conclusion: In case of accompanying ovarian mass with ascites and pleural effusion, after the exclude of ovarian malignancies, Meigs syndrome should be considered in differential diagnosis. |
| first_indexed | 2024-12-18T08:25:14Z |
| format | Article |
| id | doaj.art-81c58bdf0c684581b0e9b27e19166344 |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-12-18T08:25:14Z |
| publishDate | 2019-05-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-81c58bdf0c684581b0e9b27e191663442022-12-21T21:14:38ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222019-05-01772137141A case report of ovarian fibroids torsion with ascites and pleural effusion: case reportSeyede Houra Mousavi Vahed0Maliheh Afiat1Fahimeh Alizadeh2Anahita Hamidi Laien3Zeynab Khademi4Azin Nikoozadeh5 Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Background: Ovarian fibroma is the most common benign solid tumor of the ovary. The most common symptoms are abdominal discomfort and pain. Ovarian fibroids are associated with Meigs syndrome in 1% to 10% of cases. The aim of study is report of a case of Meigs syndrome Case presentation: A 65-year-old menopausal woman who complained of abdominal pain was referred to our academic hospital of Mashhad, Iran, in April 2018. In abdominal examination, a soft mass with size of 200×100 mm, was detected. Also leukocytosis and increase in CRP was observed. Marker CA125 was higher than 200. In CT scan in right adnexa heterogeneous mass 170×100 mm with enhancement was reveled. pleural effusion was reported in the both lungs and collapse of underlying lung tissue in Chest X-ray. Explorative laparotomy was performed. Ascites and inflamed omentum covered the surface of right ovary was detected. The huge solid-cystic hemorrhagic, irregular mass with a specific pedicle that enclosed in the capsule in right adnexa was seen. Right salpingo-oophorectomy was performed. The result of final pathologic was benign proliferative lesions of mitotic fibroblasts were reported according to ovarian fibroma. Conclusion: In case of accompanying ovarian mass with ascites and pleural effusion, after the exclude of ovarian malignancies, Meigs syndrome should be considered in differential diagnosis.http://tumj.tums.ac.ir/article-1-9642-en.htmlabdominal painascitesMeigs syndromepleural effusion |
| spellingShingle | Seyede Houra Mousavi Vahed Maliheh Afiat Fahimeh Alizadeh Anahita Hamidi Laien Zeynab Khademi Azin Nikoozadeh A case report of ovarian fibroids torsion with ascites and pleural effusion: case report Tehran University Medical Journal abdominal pain ascites Meigs syndrome pleural effusion |
| title | A case report of ovarian fibroids torsion with ascites and pleural effusion: case report |
| title_full | A case report of ovarian fibroids torsion with ascites and pleural effusion: case report |
| title_fullStr | A case report of ovarian fibroids torsion with ascites and pleural effusion: case report |
| title_full_unstemmed | A case report of ovarian fibroids torsion with ascites and pleural effusion: case report |
| title_short | A case report of ovarian fibroids torsion with ascites and pleural effusion: case report |
| title_sort | case report of ovarian fibroids torsion with ascites and pleural effusion case report |
| topic | abdominal pain ascites Meigs syndrome pleural effusion |
| url | http://tumj.tums.ac.ir/article-1-9642-en.html |
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