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Published:
May 16, 2019Keywords:
Meigs syndrome; fibrothecoma; pregnancy
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A rare case of Meigs syndrome in pregnancy
Abstract
We present a case of Meigs syndrome in a 19 year old woman. We suspected metastatic ovarian cancer after she had presented in her first pregnancy
at 12 weeks gestation. Ultrasound scan had confirmed a complex solid mass in the left adnexa, measuring 7cm x 8cm, a viable 12 weeks pregnancy
and gross ascites. She had elevated Ca 125 and serum beta - HCG. She went on to have a spontaneous miscarriage while being worked up for
exploratory laparotomy. At laparotomy, a left sided solid ovarian mass 8cm x 10cm with a smooth surface and intact capsule was found. This was
later confirmed to be a fibrothecoma at histology. The patient went on to recover without any further reaccumulation of ascites.
