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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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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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. |
format | Article |
id | doaj-art-c6c021e58574479898e1c8909a3c031c |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Surgery |
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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