Ascites in puerperium: A rare case of atypical pseudo-Meigs' syndrome complicating the puerperium

Giuseppe Ricci, Stefania Inglese, Alberto Candiotto, Gianpaolo Maso, Monica Piccoli, Salvatore Alberico, Secondo Guaschino

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: We report the case of puerperal ascites, associated with elevated CA125 levels and secondary to a uterine myoma. The literature on pseudo-Meigs' syndrome associated with pregnancy was reviewed. Case: A 35-year-old woman complained of abdominal distension 2 days after a spontaneous vaginal delivery. A mass of 5 cm in the right uterine corner had been detected during the first trimester ultrasound and had been diagnosed as subserosal myoma. Physical examination and ultrasound revealed massive ascites. Computed tomography confirmed ascites and laboratory investigations showed CA125 raised levels. Cytology of ascitic fluid resulted negative for malignancy. A laparotomy was performed and a large pedunculated myoma was removed. A final diagnosis of atypical pseudo-Meigs' syndrome was performed, being computed tomography and chest X-ray negative for pleural effusion. Conclusions: To the best of our knowledge, this is the first case of pseudo-Meigs' syndrome caused by a uterine leiomyoma described in puerperium and without hydrothorax. Though ascites is very rare in obstetrics, it should be considered when evaluating puerperal patients complaining of abdominal distension.

Original languageEnglish
Pages (from-to)1033-1037
Number of pages5
JournalArchives of Gynecology and Obstetrics
Volume280
Issue number6
DOIs
Publication statusPublished - Dec 2009

Keywords

  • Ascites
  • CA125
  • Leiomyoma
  • Pseudo-Meigs' syndrome
  • Puerperium

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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