title: Leiomyoma causing massive ascites, right pleural effusion and respiratory distress. A case report.
abstract: BACKGROUND
  Pseudo-Meigs' syndrome, or atypical Meigs' syndrome, occurs when a pelvic mass other than an ovarian fibroma is present with hydrothorax and ascites. Leiomyomas rarely cause this condition.
  
  
  METHODS
  An otherwise healthy 31-year-old woman presented to the emergency department in acute respiratory distress with massive ascites, pleural effusion and a pedunculated leiomyoma. After receiving mechanical ventilation, she underwent myomectomy and recovered fully within four weeks.
  
  
  CONCLUSIONS
  This unique presentation of pseudo-Meigs' syndrome should be included with malignancy in the differential diagnosis of a pelvic mass with ascites.
authors.affiliation: Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois, USA.
authors.forename: A T
authors.initials: AT
authors.lastname: Ollendorff
authors.forename: P
authors.initials: P
authors.lastname: Keh
authors.forename: F
authors.initials: F
authors.lastname: Hoff
authors.forename: J R
authors.initials: JR
authors.lastname: Lurain
authors.forename: D A
authors.initials: DA
authors.lastname: Fishman
mesh_terms: D000328:Adult; D001201:Ascites / Q000209:etiology*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008539:Meigs Syndrome; D010996:Pleural Effusion / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000209:etiology*; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery