Hall H, Weirich E, Gruda A, Haddad C, Malviya V and Chang CY
This case report is written concerning a patient with Meigs Syndrome. The patient initially presented with symptomatic ascites. Further investigation found evidence of a pleural effusion, ascites, and a 19-centimeter pelvic mass. The mass was surgically removed and found to be a benign mucinous cystadenofibroma. After the removal of the mass, the ascites and pleural effusion resolved spontaneously and did not recur. The clinical picture of ascites, pleural effusion, and cystadenofibroma with the resolution of fluid collections after removal of the mass is consistent with a diagnosis of Meigs Syndrome. While the clinical picture of ovarian mass with concomitant ascites and pleural effusion is concerning for malignancy, clinicians need to be reminded of Meigs Syndrome as a possible diagnosis with benign etiology.