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Case Reports
. 2019 May 16:33:36.
doi: 10.11604/pamj.2019.33.36.18653. eCollection 2019.

A rare case of Meigs syndrome in pregnancy

Asaph Ziruma  1 , Misai Hukuimwe  1 , Michael Nyakura  1 , Rumbidzai Majangara  1 , Mervyn Venge  1
Affiliations
Case Reports

A rare case of Meigs syndrome in pregnancy

Asaph Ziruma et al. Pan Afr Med J. .

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.

Keywords: Meigs syndrome; fibrothecoma; pregnancy.

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Conflict of interest statement

The authors declare no competing interests.

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