Pleural Disease in Women

Argento, A. Christine; Gillespie, Colin T.

doi:10.1055/s-0039-1695050

Cited by 4 publications

(9 citation statements)

References 99 publications

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“…18-21%) [3][4][5]. Unlike previous studies, we performed noninvasive chest ultrasonography on all patients with severe OHSS and found that 52% of the patients had hydrothorax (bilateral: >60%; mild to moderate: 93%, massive: 7%).…”

Section: Ohss and Hydrothoraxmentioning

confidence: 79%

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Clinical features of severe ovarian hyperstimulation syndrome with hydrothorax

Wang

Yang

et al. 2023

Preprint

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Research question: Does the presence of hydrothorax suggest that severe ovarian hyperstimulation syndrome (OHSS) is associated with more severe conditions and worse pregnancy outcomes?Design: The clinical data for 868 hospital patients with severe OHSS following IVF-ET at Peking University Third Hospital between January 1, 2016, and July 21, 2021, were retrospectively analysed. The patients were divided into two groups: the ascites alone group (n = 417) and the ascites combined with hydrothorax group (n = 451) to investigate the clinical features and pregnancy outcomes of patients with severe ovarian hyperstimulation syndrome (OHSS) combined with hydrothorax plus ascites.Results The clinical data for 868 hospital patients with severe OHSS following IVF-ET were included. The patients were divided into two groups: the ascites alone group (n = 417) and the ascites combined with hydrothorax group (n = 451). 51.96% of patients with severe OHSS had hydrothorax plus ascites, mainly bilateral and moderate hydrothorax. Most cases with hydrothorax could be monitored and observed, and only 2.66% of the cases required thoracentesis and pleural drainage. Clinically, time to visit due to worsening symptoms was longer; hospital stay was shorter; and OHSS-related laboratory tests such as white blood cells (WBC), haematocrit (HCT), and ovarian diameter were less severe in the ascites combined with hydrothorax group than in the ascites alone group. For live-birth outcomes of IVF-ET, the presence and the volume of hydrothorax were not independent risk factors, while late onset of OHSS (odds ratio [OR]: 0.857 95% confidence interval [CI]: 0.795, 0.925) and a history of foetal reduction (OR: 13.796 95% CI: 1.808, 105.288) were independent protective factors for live birth.Conclusion Patients with severe OHSS combined with hydrothorax plus ascites have less severe clinical manifestations and laboratory tests than those with ascites alone. The presence and the volume of hydrothorax are unrelated to live-birth outcomes following in vitro fertilization and embryo transfer (IVF-ET).

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Section: Ohss and Hydrothoraxmentioning

confidence: 79%

“…Hydrothorax is one manifestation of severe and critical OHSS [2], with an incidence of 23-29%. Hydrothorax is more common on the right side due to the anatomy of the right diaphragm [3][4][5]. For patients with severe OHSS, does the presence of hydrothorax suggest more severe conditions or worse pregnancy outcomes?…”

Section: Introductionmentioning

confidence: 99%

Clinical features of severe ovarian hyperstimulation syndrome with hydrothorax

Wang

Yang

et al. 2023

Preprint

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“…It represents 2-5% of surgically removed ovarian tumors. Meigs syndrome is most common in postmenopausal women [ 1 ], and its incidence peaks in the seventh decade [ 3 ]. It can also be seen in children [ 1 ] in whom the annual incidence of ovarian masses is only 2.6 cases/100,000 girls [ 5 ], making ovarian masses a rare occurrence during childhood and Meigs syndrome even rarer [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Meigs syndrome is a rare disorder [ 1 ] comprising a triad of benign ovarian tumor, ascites, and pleural effusion. Despite its benign nature, its presentation mimics a metastatic malignancy [ 2 ], rendering preoperative diagnosis often challenging.…”

Section: Introductionmentioning

confidence: 99%

“…The differential diagnosis includes serious and even life-threatening conditions such as metastatic ovarian cancer, congestive heart failure, liver cirrhosis, tuberculosis, and nephrotic syndrome [ 3 ]. Meigs syndrome is most common in postmenopausal women [ 1 ], with the peak incidence in the seventh decade [ 3 ]. It is extremely rare in children [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Sclerosing Stromal Tumor of the Ovary Presenting as Meigs Syndrome During Childhood

Hatoum¹,

Jarjoura²,

Saade³

et al. 2022

Cureus

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Meigs syndrome is a rare disorder characterized by a triad of benign ovarian tumor, ascites, and pleural effusion. Despite its benign nature, its presentation can be similar to metastatic malignancy, making preoperative diagnosis often challenging. The differential diagnosis includes serious and even lifethreatening conditions. Meigs syndrome is most common in postmenopausal women and is extremely rare in children. It is often undiagnosed until an invasive surgery is performed. The fact that surgery includes a unilateral salpingo-oophorectomy in females of reproductive age raises concerns for future fertility and other risks associated with this intervention. Familiarity of radiologists and pediatric surgeons with clinical and imaging findings is beneficial to improve preoperative planning, thereby minimizing invasive surgery and preserving ovarian tissue.

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Krukenberg tumor arising from gastric cancer presenting as Pseudo-Meigs' syndrome: a case report and literature review

Qiu,

Jiang,

Ding

et al. 2024

Front. Med.

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Krukenberg tumor is a relatively uncommon metastatic ovarian cancer, typically presenting with abdominal pain and distension, primarily due to bilateral ovarian involvement. Pseudo-Meigs' syndrome, caused by a Krukenberg tumor originating from gastric cancer, is extremely rare. In this study, we report the case of a 39-year-old woman who presented with unusual manifestations of a Krukenberg tumor, where abdominal distension and dyspnea were the primary symptoms. After surgical treatment, a histopathological examination of the ovary revealed the presence of signet ring cell carcinoma. We concluded that this case coincided with Pseudo-Meigs' syndrome. Clinicians should note that Pseudo-Meigs' syndrome should be considered in patients with Krukenberg tumor, ascites, and pleural effusion, as resection of the tumor may provide long-term palliation.

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Pleural Disease in Women

Cited by 4 publications

References 99 publications

Clinical features of severe ovarian hyperstimulation syndrome with hydrothorax

Clinical features of severe ovarian hyperstimulation syndrome with hydrothorax

Sclerosing Stromal Tumor of the Ovary Presenting as Meigs Syndrome During Childhood

Krukenberg tumor arising from gastric cancer presenting as Pseudo-Meigs' syndrome: a case report and literature review

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