A Further Contribution to the Syndrome of Fibroma of the Ovary with Fluid in the Abdomen and Chest, Meigs’ Syndrome**Presented, by invitation, at a meeting of the New York Obstetrical Society, January 12, 1943.

Meigs, Joe Vincent; Armstrong, Shirley; Hamilton, H. H.

doi:10.1016/s0002-9378(16)40440-0

Cited by 94 publications

(14 citation statements)

References 19 publications

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“…It is interesting to note the similarity in cytology of the pleural and ascitic fluid in our patient. This suggests that in this case, the hemothorax is accounted for by lymphatic or transdiaphragmatic spread from the peritoneal to the pleural cavity, as described in Meigs' syndrome [8]. This is supported by the case of Charles [2] where the patient originally presented with pleural effusion and ascites although on a second admission, there was no evidence of pleural effusion.…”

Section: Discussionsupporting

confidence: 61%

Endometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature

Bhojawala

Heller

Cracchiolo³

et al. 2000

Arch Gynecol Obstet

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Section: Discussionsupporting

confidence: 61%

Endometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature

Bhojawala

Heller

Cracchiolo³

et al. 2000

Arch Gynecol Obstet

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“…That substances do pass from subpleural lymphatics into the pleural cavity is supported by observations that materials such as protein and India ink, injected into the ascitic fluid of patients with ascites and hydrothorax complicating cirrhosis, or with Meigs' syndrome, rapidly appear in pleural fluid in a concentration higher than that reached in blood (e.g., Meigs, Armstrong, and Hamilton, 1943).…”

Section: Haematogenous Carriage Of Pancreatic Enzymesmentioning

confidence: 92%

“…This preponderance of left-sided effusions, even in the absence of pseudocyst, would suggest that the transdiaphragmatic lymphatic transfer of free peritoneal fluid formed during pancreatitis is a factor of relatively minor importance in pathogenesis. In Meigs' syndrome, in which there is good evidence that lymphatic transfer is essential to the development of pleural fluid, effusions are usually right-sided (Meigs et al, 1943;Hammouda, 1967).…”

Section: Haematogenous Carriage Of Pancreatic Enzymesmentioning

confidence: 99%

Pleuropulmonary complications of pancreatitis

Kaye

1968

Thorax

134

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“…One hypothesis is that ascites is caused by a disparity between the arterial supply to the ovarian tumor and its venous and lymphatic drainage [1, 14], and the ascites finds its way to the thoracic cavity through intercellular gaps via aortic, esophageal, and vena caval pathways and a number of smaller avenues [15, 16]. Dye test results have shown that the pleural effusion is likely to originate from the peritoneal fluid via transdiaphragmatic transport [17]. This hypothesis supports the fact that both ascites and pleural effusion contain no malignant cells and disappear promptly after the complete resection of the ovarian or pelvic tumors in pseudo-Meigs’ syndrome.…”

Section: Discussionmentioning

confidence: 99%

Long-term survival in pseudo-Meigs’ syndrome caused by ovarian metastases from colon cancer

et al. 2016

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BackgroundMeigs’ syndrome is defined as the co-existence of benign ovarian fibroma or fibroma-like tumor, ascites, and pleural effusion. In contrast, pseudo-Meigs’ syndrome is defined as the co-existence of other ovarian or pelvic tumors, ascites, and pleural effusion. In Meigs’ and pseudo-Meigs’ syndromes, ascites and pleural effusion resolve promptly after the complete resection of the ovarian or pelvic tumor(s). Secondary ovarian tumors from colorectal gastrointestinal metastases rarely cause pseudo-Meigs’ syndrome; only 11 cases of pseudo-Meigs’ syndrome secondary to colorectal cancers have been reported in the literature. Therefore, the prognosis and etiology of pseudo-Meigs’ syndrome caused by ovarian metastasis from colorectal cancers remain unclear.Case presentationWe report here a rare case of pseudo-Meigs’ syndrome caused by ovarian metastases from sigmoid colon cancer with long-term survival. A 47-year-old woman presented with abdominal distention of 1-month duration. She developed acute dyspnea 2 weeks after the initial presentation. Colonoscopy and computed tomography revealed sigmoid colon cancer with an ovarian metastasis, along with massive ascites and bilateral pleural effusion. Emergency operation, including bilateral oophorectomy and sigmoidectomy, was performed. Subsequently, ascites and bilateral pleural effusion resolved rapidly. Curative hepatic resection was performed for liver metastases 29 months after the first operation, and as of this writing, the patient is alive with no evidence of a disease 78 months after the first operation. In general, colorectal cancer with ovarian metastasis is hard to cure, and long-term survival in patients with colorectal cancer with pseudo-Meigs’ syndrome is rare. Our experience suggests that curative resection for pseudo-Meigs’ syndrome caused by ovarian metastasis from colorectal cancer may offer long-term survival.ConclusionsOur experience suggests that pseudo-Meigs’ syndrome can occur in a patient with colorectal cancer after metastasis to the ovaries, causing massive ascites and pleural effusion. Aggressive treatment, including R0 resection, for this disease if allowed by the patient’s general condition may offer long-term survival.

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A Further Contribution to the Syndrome of Fibroma of the Ovary with Fluid in the Abdomen and Chest, Meigs’ Syndrome**Presented, by invitation, at a meeting of the New York Obstetrical Society, January 12, 1943.

Cited by 94 publications

References 19 publications

Endometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature

Endometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature

Pleuropulmonary complications of pancreatitis

Long-term survival in pseudo-Meigs’ syndrome caused by ovarian metastases from colon cancer

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