Parasitic fibroid and pseudo–Meigs’ syndrome: Co-existence of two rare entities

Parasitic leiomyomas: a systematic review

“…In our review, there were 14 cases in which the blood supply to the leiomyoma was provided by the omentum, this location being the most common after DPL 42,44,54,55,56,61,63,91,92,93,94,95,96 Diagnosis and differential diagnosis…”

“…In these circumstances, the measurement of tumor markers, such as CA 125, CA 19-9 or alphafetoprotein, will not be of much help, since parasitic leiomyomas are sometimes associated with elevated levels of these markers, and even with ascites 54,55,56 . In some other cases, an initial diagnosis of parasitic leiomyoma is not confirmed during surgery and cases have been reported of dracunculosis of the broad ligament 104 or fibrothecoma that were initially thought to be parasitic leiomyoma.…”

“…Lertvikool, 2015 119 Lurie, 1991 137 Mahmoud, 2015 74 Makris, 2012 54 Meneni, 2010 120 Mieli, 2013 88 Miyake, 2009 121 Moon, 2008 78 Mueller, 2012 47 Munshi, 2014 122 Nagase, 2012 123 Nappi, 2004 124 Nausheen, 2013 14 Nimaroff, 2010 111 Odofin, 2004 103 Okoro, 2007 96 Ordulu, 2010 67 Ostrzenski, 1997 79 Pallavee, 2014 89 Park, 2013 41 Patel, 2013 125 Paul, 2006 20 Payyapilly, 2010 69 Pezzuto, 2010 70 Phupong, 2003 22 Poliquin, 2008 77 Puga, 2013 109 Putran, 2010 126 Rabischong, 2013 90 Rader, 1990 53 Ribic-Pucelj, 2013 91 Salfelder, 2009 127 Shakir, 2012 128 Shepperd, 2012 72 Singh, 2013 129 Sinha, 2007 64 Sinha, 2009 13 Sizzi, 2007 33 Soliman, 2011 130 Tadayon, 2012 131 Takeda, 2007 61 Takeda, 2012 102 Takeda, 2013 62 Tan, 2012 45 Tanaka, 2009 35 Temizkan, 2014 …”

Massive ascites, pelvic mass, elevated CA-125 and weight loss: think outside the 'ovaries'

“…Meigs’ syndrome is an uncommon condition that was first reported by Meigs and Cass in 1937 1. The definition of this syndrome is limited to the existence of benign and solid ovarian tumours, especially fibromas that are accompanied by ascites and hydrothorax.…”

“…Pseudo-Meigs’ syndrome refers to the coexistence of a pelvic mass other than an ovarian fibroma in conjunction with ascites and/or a pleural effusion, provided that the latter resolves after surgical removal of the pelvic mass 1. It is considered a rare entity.…”