Not to be confused with Meige syndrome
medicine, Meigs syndrome, also Meigs' syndrome, is the triad of ascites, pleural effusion and benign ovarian tumor ( fibroma, Brenner tumour and occasionally granulosa cell tumour). [1 ] [2 ] It resolves after the [3 ] resection of the tumor. Because the transdiaphragmatic lymphatic channels are larger in diameter on the right, the pleural effusion is classically on the right side. The etiologies of the ascites and pleural effusion are poorly understood. [1 ]
Differential diagnosis [ edit ]
It may mimic other conditions.
Because of the presence of ascites and transudative pleural effusions, the
differential diagnosis includes liver failure ( cirrhosis), congestive heart failure, renal diseases, and metastatic tumors to the peritoneal surfaces. These entities must be clinically excluded. [ ] citation needed
Treatment [ edit ]
Treatment of Meigs' syndrome consists of
thoracentesis and paracentesis to drain off the excess fluid (transudate), and unilateral salpingo-oophorectomy or wedge resection to correct the underlying etiology.
Meigs' Syndrome is named for Joe Vincent Meigs. [5 ] [6 ] [7 ]
References [ edit ]
^ a b at Meigs syndrome eMedicine
^ Morán-Mendoza A, Alvarado-Luna G, Calderillo-Ruiz G, Serrano-Olvera A, López-Graniel CM, Gallardo-Rincón D (2006). "Elevated CA125 level associated with Meigs' syndrome: case report and review of the literature". Int. J. Gynecol. Cancer 16 (Suppl 1): 315–318. doi: 10.1111/j.1525-1438.2006.00228.x. PMID 16515612.
^ Padubidri, Daftary. Shaw's Textbook Of Gynaecology, 15e. Elsevier India. p. 385. ISBN 9788131225486.
^ Lanitis S, Sivakumar S, Behranwala K, Zacharakis E, Al Mufti R, Hadjiminas DJ (2009). "A case of Meigs syndrome mimicking metastatic breast carcinoma". World J Surg Oncol 7: 10. doi: 10.1186/1477-7819-7-10. PMC 2633000. PMID 19161612.
^ at Meigs' syndrome Who Named It?
^ Lurie S (2000). "Meigs' syndrome: the history of the eponym". Eur. J. Obstet. Gynecol. Reprod. Biol. 92 (2): 199–204. doi: 10.1016/S0301-2115(99)00289-4. PMID 10996681.
^ Meigs JV (May 1954). "Fibroma of the ovary with ascites and hydrothorax; Meigs' syndrome". Am. J. Obstet. Gynecol. 67 (5): 962–85. PMID 13148256.