Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer

Pseudo-Meigs’ syndrome is used to describe cases of ascites and/or pleural effusion associated with ovarian neoplasms other than benign tumors, which improve after removal of the ovarian lesion. We present three cases of pseudo-Meigs’ syndrome secondary to ovarian metastasis from colorectal cancer....

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Main Authors: Yuta Yamamoto, Yusuke Miyagawa, Takehito Ehara, Makoto Koyama, Satoshi Nakamura, Daisuke Takeuchi, Futoshi Muranaka, Masato Kitazawa, Shinichi Miyagawa
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2017/5235368
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author Yuta Yamamoto
Yusuke Miyagawa
Takehito Ehara
Makoto Koyama
Satoshi Nakamura
Daisuke Takeuchi
Futoshi Muranaka
Masato Kitazawa
Shinichi Miyagawa
author_facet Yuta Yamamoto
Yusuke Miyagawa
Takehito Ehara
Makoto Koyama
Satoshi Nakamura
Daisuke Takeuchi
Futoshi Muranaka
Masato Kitazawa
Shinichi Miyagawa
author_sort Yuta Yamamoto
collection DOAJ
description Pseudo-Meigs’ syndrome is used to describe cases of ascites and/or pleural effusion associated with ovarian neoplasms other than benign tumors, which improve after removal of the ovarian lesion. We present three cases of pseudo-Meigs’ syndrome secondary to ovarian metastasis from colorectal cancer. In case 1, the patient has severe dyspnea and hypoxia due to massive right pleural effusion; therefore preoperative thoracic drainage was needed. In case 2, the patient needed paracentesis every two or three days to improve abdominal distension. After two courses of 5-fluorouracil, levofolinate, and oxaliplatin (mFOLFOX6), her ascites could be controlled by diuretics without aspiration and her general condition improved. Then she underwent operation. In case 3, the patient developed a massive pleural effusion and ascites coincident with a rapid enlargement of ovarian tumor after resection and adjuvant chemotherapy for rectal cancer. In all cases, pleural effusions and/or ascites resolved and general conditions and daily activities of the patients improved after oophorectomy. They are all currently in good health without recurrence of pleural effusion or ascites. In patients with suspected pseudo-Meigs’ syndrome secondary to ovarian metastasis of colorectal cancer, operation including oophorectomy may reduce pleural effusions and/or ascites and improve the general condition.
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spelling doaj-art-c6c021e58574479898e1c8909a3c031c2025-02-03T01:09:00ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/52353685235368Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal CancerYuta Yamamoto0Yusuke Miyagawa1Takehito Ehara2Makoto Koyama3Satoshi Nakamura4Daisuke Takeuchi5Futoshi Muranaka6Masato Kitazawa7Shinichi Miyagawa8Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, JapanPseudo-Meigs’ syndrome is used to describe cases of ascites and/or pleural effusion associated with ovarian neoplasms other than benign tumors, which improve after removal of the ovarian lesion. We present three cases of pseudo-Meigs’ syndrome secondary to ovarian metastasis from colorectal cancer. In case 1, the patient has severe dyspnea and hypoxia due to massive right pleural effusion; therefore preoperative thoracic drainage was needed. In case 2, the patient needed paracentesis every two or three days to improve abdominal distension. After two courses of 5-fluorouracil, levofolinate, and oxaliplatin (mFOLFOX6), her ascites could be controlled by diuretics without aspiration and her general condition improved. Then she underwent operation. In case 3, the patient developed a massive pleural effusion and ascites coincident with a rapid enlargement of ovarian tumor after resection and adjuvant chemotherapy for rectal cancer. In all cases, pleural effusions and/or ascites resolved and general conditions and daily activities of the patients improved after oophorectomy. They are all currently in good health without recurrence of pleural effusion or ascites. In patients with suspected pseudo-Meigs’ syndrome secondary to ovarian metastasis of colorectal cancer, operation including oophorectomy may reduce pleural effusions and/or ascites and improve the general condition.http://dx.doi.org/10.1155/2017/5235368
spellingShingle Yuta Yamamoto
Yusuke Miyagawa
Takehito Ehara
Makoto Koyama
Satoshi Nakamura
Daisuke Takeuchi
Futoshi Muranaka
Masato Kitazawa
Shinichi Miyagawa
Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer
Case Reports in Surgery
title Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer
title_full Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer
title_fullStr Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer
title_full_unstemmed Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer
title_short Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer
title_sort three cases of pseudo meigs syndrome secondary to ovarian metastases from colorectal cancer
url http://dx.doi.org/10.1155/2017/5235368
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