Meigs' syndrome in a young woman

Latta, Robert J.; Lee, Phillip

doi:10.1016/s0197-0070(81)80012-5

“…Demons-Meigs syndrome is present in 1% of individuals with ovarian tumors [ 1 , 2 ]. The most common presentation is between the fifth and seventh decade of life with 67 to 70% of individuals being postmenopausal, except for a few patients who may present at a much younger age [ 27 , 28 ]. However, it is rare in the pubertal age group [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…The most common presentation is between the fifth and seventh decade of life with 67 to 70% of individuals being postmenopausal, except for a few patients who may present at a much younger age [ 27 , 28 ]. However, it is rare in the pubertal age group [ 27 , 28 ]. Fibromas are present in 1-3% of the ovarian mass [ 2 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Atypical Psuedo-Demons-Meigs Syndrome Presenting As Acute Dyspnoea With Pseudomembranous Colitis

Gianchandani Gyani,

Yeola,

Keshwani

et al. 2024

Cureus

0

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Demons-Meigs syndrome is a rare clinical presentation of benign ovarian mass with hydrothorax and ascites. As ascites can be present in any ovarian mass, hydrothorax is a salient feature of the syndrome. The syndrome is subtyped as atypical in the absence of ascites from the triad. Nevertheless, it is labeled as pseudo-Demons-Meigs syndrome if the ovarian tumor is neoplastic rather than benign. The management of Demons-Meigs syndrome is complex and could be misleading due to pleural effusion and ascites, so an understanding of the syndrome is important. This case report is unique as it has two rare findings of neoplastic tumor and absence of ascites. Furthermore, this case is distinct as both ovaries are involved in malignant granulosa theca cell tumor with right-sided pleural effusion without ascites.

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“…In order to establish a prognosis and determine treatment, the doctor needs to know the cell type, stage, and grade of the disease. This is why surgery should not be denied and it will not be astonishing to end with a final diagnosis of Meigs's syndrome due to fibroma 1,7,15,16 or thecoma of the ovary 17 or Pseudomeigs' syndrome due to a benign pathology such as leiomyoma with focal hyaline and extensive hydropic degeneration 18 , leiomyoma with parasitized blood supply from the omentum 19 , leiomyoma of the ovary 20 , utrine leiomyoma 21,22,23,24 , benign Brenner tumours 25 ovarian hemangioma 26 , granulosa cell tumour 27 , dysgerminoma 28 , struma ovarii a specialized ovarian teratoma composed predominantly of mature thyroid tissue 29,30,31 , benign mature teratoma 11 , or malignant disease as malignant struma ovarii 32 and secondaries from carcinoma of stomach (Krukenberg tumors ) 33 , colon 34 or epithelial cell ovarian cancer 35 , and malignant mixed germ cell tumour of the ovary 36…”

Section: Cytology Of the Ascitic Fluid Revealed No Abnormalitymentioning

confidence: 99%

Cutaneous myiasis due to <i>Dermatobia hominis</i>: A case report from eastern Sudan

Adam¹,

Rahman²,

Nail³

et al. 2007

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Cutaneous myiasis (CM) is invasion of human skin by larvae of dipterous flies 1. CM is encountered worldwide and is endemic in several tropical countries, mainly in central and south American 2. Cases have been reported in non-tropical countries such as USA, UK, Germany, and Japan 3,4,5.. Patients with CM due to Dermatobia hominis usually suffer from painful pruritic furuncular skin lesion with a serous or seropurulent discharge accompanied by a crawling sensation. The disease may resolve spontaneously, however conservative and/or surgical treatment may be indicated. Fatal CM due to D. hominis was reported from Brazil where a scalp lesion had disseminated into the brain 6. In Sudan, CM seems uncommon, unreported or probably underdiagnosed. In this communication we describe a case of CM due to D. hominis which seems to have been acquired from an indigenous source. Case Report: A nine-years-old Sudanese female, from Gedaref area, Eastern Sudan, complained of an unexplained discharging furuncular skin lesion on her right leg for two weeks. She sought medical advice several times and was given topical treatments and oral antibiotics. The patient was referred to Tropical Diseases Teaching Hospital (TDTH), Omdurman, because a larva dropped from the lesion while the patient's mother was dressing it. The larva was identified as D. hominis at TDTH (The figure). The patient was reassured and no specific treatment was given.

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“…In order to establish a prognosis and determine treatment, the doctor needs to know the cell type, stage, and grade of the disease. This is why surgery should not be denied and it will not be astonishing to end with a final diagnosis of Meigs's syndrome due to fibroma 1,7,15,16 or thecoma of the ovary 17 or Pseudomeigs' syndrome due to a benign pathology such as leiomyoma with focal hyaline and extensive hydropic degeneration 18 , leiomyoma with parasitized blood supply from the omentum 19 , leiomyoma of the ovary 20 , utrine leiomyoma 21,22,23,24 , benign Brenner tumours 25 ovarian hemangioma 26 , granulosa cell tumour 27 , dysgerminoma 28 , struma ovarii a specialized ovarian teratoma composed predominantly of mature thyroid tissue 29,30,31 , benign mature teratoma 11 , or malignant disease as malignant struma ovarii 32 and secondaries from carcinoma of stomach (Krukenberg tumors ) 33 , colon 34 or epithelial cell ovarian cancer 35 , and malignant mixed germ cell tumour of the ovary 36…”

Section: Cytology Of the Ascitic Fluid Revealed No Abnormalitymentioning

confidence: 99%