Pseudo-Meig’s Syndrome associated with huge Uterine Leiomyoma and\nelevated CA-125- a Case Report

Background: Pseudo-Meigs syndrome consists of pleural effusion,\nascites, and benign tumors of the ovary other than fibromas. These\nbenign tumors include the tumors of fallopian tube or uterus, mature\nteratomas, struma ovarii, and ovarian leiomyomas. In a postmenopausal\nwoman presence of complex pelvic mass, ascites, pleural effusion and\nraised tumor markers raises suspicion of malignancy. The case herein\npresented concerns a 45 years old postmenopausal woman with uterine\nleiomyoma presenting with pseudo-Meig’s syndrome. Case report: A\n45-year-old woman presented with with a huge pelvic mass, pleural\neffusion and high level of serum CA125. Cytological evaluation for the\npleural fluid was performed. She underwent hysterectomy and bilateral\nsalpingo-oophorectomy. The result of pathologic diagnosis was\npseudomeig syndrome. The patient was well in postoperative period and\nparaclinical tests including CA 125 were normal as well. Discussion:\nDiagnosis and management will be discussed. In the differential\ndiagnosis of an pelvic mass in a patient presented with ascites, high\nCA 125 levels and pleural effusions, but with negative cytologic\nexamination we should consider these benign gynecological conditions\ntoo.