A case of pseudo-Meigs syndrome

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Date: Feb. 2008
From: Journal of Respiratory Diseases(Vol. 29, Issue 2)
Publisher: CMP Medica, LLC
Document Type: Case study
Length: 709 words
Lexile Measure: 1390L

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We present a case of a 52-year-old woman with exudative pleural effusion. Her workup revealed an ovarian tumor, and the effusion completely resolved after resection of the tumor. Pathology revealed granulosa cell tumor, which is an unusual cause of Meigs syndrome. This case shows the importance of considering abdominopelvic pathology in unsolved cases of pleural effusion.

The case

A 52-year-old woman had worsening shortness of breath for 4 months and a weight loss of 50 lb. She did not have cough, fever, or chest pain. She had a history of hypertension, which was well controlled with amlodipine. She was a lifetime nonsmoker, with no significant alcohol or drug use. She had no significant risk factors for tuberculosis or significant exposure to inhalants or animals.

Physical examination revealed an obese woman with markedly decreased air entry over the mid and lower right hemithorax. A chest radiograph (Figure 1) and a CT scan showed a large right-sided pleural effusion with atelectasis of the right lower lobe.

Thoracentesis was performed, with drainage of 1200 mL of straw-colored clear fluid. Analysis...

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Gale Document Number: GALE|A180349209