Pseudo-Meigs syndrome : à propos d’un cas

Benjelloun, H.; Sanaa, Morad; Zaghba, N.; Bakhatar, A.; Yassine, N.; Bahlaoui, A.

doi:10.11604/pamj.2014.17.184.3875

“…This benign tumor may be associated with an ascites and pleurisy in the context of the syndrome of Meigs demons in almost 1% of cases; who will disappear after his excision. 6,7 In our patient associated with the tumor; there was a low abundance effusion the Douglas; but the chest X-ray did not objectivize pleurisy allowing to eliminate the syndrome of Meigs demons. ovarian fibroma on ultrasound presents as a solid, homogeneous and hypoechoic mass with posterior acoustic shadowing, similar to a pedunculated subserosal uterine leiomyoma.…”

Section: Discussionmentioning

confidence: 56%

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2022

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Ovarian fibromas are uncommon, accounting for 4% of ovarian tumors. The clinical examination, ultrasonographic, and tumor marker data remain the best preoperative approach currently available for ovarian tumors. However, the diagnosis remains histological. We hereby present the uncommon case of unilateral ovarian fibroma in a 55-year-old woman who presented with pelvic chronic pain the past 2 years. Underwent a bilateral adnexectomy through laparotomy and pathologic examination confirmed the diagnostic of ovarian fibroma. Our case is to illuminate the diagnosis of ovarian fibroma as a rare diagnosis and it should be considered in the differential diagnosis of solid ovarian masses.

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“…• This benign tumor may be associated with ascites and pleurisy within the framework of the Demons Meigs syndrome, which will disappear after its excision (11,15).…”

Section: Clinicmentioning

confidence: 99%

Ovarian fibrothecoma: about 2 cases: Review of the literature

Fouad Ech chouyekh,

Badr El Marjani,

Sofia Jayi

et al. 2023

World J. Adv. Res. Rev.

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Introduction: Ovarian fibroma is a rare tumor representing 1 to 4% of all ovarian tumours, poses a diagnostic problem preoperatively to assess their benign or malignant character, especially if associated with Demons Meigs syndrome.Clinically can be complicated making an array of surgical emergency.Magnetic resonance imaging(MRI) is more effective in diagnosing fibroids ovarian.Its treatment is surgical and the anatomopathological study confirms the diagnosis. Presentation of the cases: 1) a 62-year-old patient admitted for chronic pelvic pain in whom examination finds a hypogastric arch with slight pelvic tenderness, pelvic ultrasound objectified a pelvic mass of 10 cm heterogeneous, in pre vesico uterine and on MRI a bulky mass above the bladder of strongly ovarian origin evoking a fibrothecoma ovarian. The patient underwent a laparotomy with the discovery of a mass 10 cm in the right appendix with performance of an adnexectomy and the anatomopathological examination returned in favor of ovarian fibrothecoma. 2) a 45-year-old patient consults in the emergency room for intense pelvic pain, the examination finds a defense at the level of the right iliac fossa with perception of a mass firm, on pelvic ultrasound: the fallopian tube is the seat of a hydrosalpinx with an image 7 cm hypoechogenic, BHCG negative, benefited from a mini laparotomy with discovery of a solid mass of 8x6 cm attached to the fallopian tube and the right ovary with two towers of turns, we carried out a detorsion then a resection of the mass and the examination pathology came back in favor of ovarian fibrothecoma Conclusion: Ovarian fibroids are rare benign tumors, their diagnosis is based first on the clinic supplemented by explorations radiological especially ultrasound and in some cases MRI.Nevertheless, the diagnosis definitive is histological.

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Ovarian fibroma in a postmenopausal woman: A case report

Slaoui¹,

Mahtate²,

Lakhdar³

et al. 2022

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Ovarian fibromas are uncommon, accounting for 4% of ovarian tumors. The clinical examination, ultrasonographic, and tumor marker data remain the best preoperative approach currently available for ovarian tumors. However, the diagnosis remains histological. We hereby present the uncommon case of unilateral ovarian fibroma in a 55-year-old woman who presented with pelvic chronic pain the past 2 years. Underwent a bilateral adnexectomy through laparotomy and pathologic examination confirmed the diagnostic of ovarian fibroma. Our case is to illuminate the diagnosis of ovarian fibroma as a rare diagnosis and it should be considered in the differential diagnosis of solid ovarian masses.

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Pseudo-Meigs syndrome : à propos d’un cas

Cited by 3 publications

References 11 publications

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Ovarian fibrothecoma: about 2 cases: Review of the literature

Ovarian fibroma in a postmenopausal woman: A case report

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