title: Pseudo-Meigs' syndrome secondary to metachronous ovarian metastases from transverse colon cancer.
abstract: Pseudo-Meigs' syndrome associated with colorectal cancer is extremely rare. We report here a case of pseudo-Meigs' syndrome secondary to metachronous ovarian metastases from colon cancer. A 65-year-old female with a history of surgery for transverse colon cancer and peritoneal dissemination suffered from metachronous ovarian metastases during treatment with systemic chemotherapy. At first, neither ascites nor pleural effusion was observed, but she later complained of progressive abdominal distention and dyspnea caused by rapidly increasing ascites and pleural effusion and rapidly enlarging ovarian metastases. Abdominocenteses were repeated, and cytological examinations of the fluids were all negative for malignant cells. We suspected pseudo-Meigs' syndrome, and bilateral oophorectomies were performed after thorough informed consent. The patient's postoperative condition improved rapidly after surgery. We conclude that pseudo-Meigs' syndrome should be included in the differential diagnosis of massive or rapidly increasing ascites and pleural effusion associated with large or rapidly enlarging ovarian tumors.
authors.affiliation: Kennoki Kyo, Atsushi Maema, Motoaki Shirakawa, Toshio Nakamura, Hidetaro Yokoyama, Department of Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan.
authors.forename: Kennoki
authors.initials: K
authors.lastname: Kyo
authors.affiliation: Kennoki Kyo, Atsushi Maema, Motoaki Shirakawa, Toshio Nakamura, Hidetaro Yokoyama, Department of Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Maema
authors.affiliation: Kennoki Kyo, Atsushi Maema, Motoaki Shirakawa, Toshio Nakamura, Hidetaro Yokoyama, Department of Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan.
authors.forename: Motoaki
authors.initials: M
authors.lastname: Shirakawa
authors.affiliation: Kennoki Kyo, Atsushi Maema, Motoaki Shirakawa, Toshio Nakamura, Hidetaro Yokoyama, Department of Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Nakamura
authors.affiliation: Kennoki Kyo, Atsushi Maema, Motoaki Shirakawa, Toshio Nakamura, Hidetaro Yokoyama, Department of Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Koda
authors.affiliation: Kennoki Kyo, Atsushi Maema, Motoaki Shirakawa, Toshio Nakamura, Hidetaro Yokoyama, Department of Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan.
authors.forename: Hidetaro
authors.initials: H
authors.lastname: Yokoyama
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000556:secondary* / Q000601:surgery; D000368:Aged; D001201:Ascites / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001706:Biopsy; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008539:Meigs Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010051:Ovarian Neoplasms / Q000150:complications* / Q000556:secondary* / Q000601:surgery; D010052:Ovariectomy; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Ascites; Colon cancer; Ovarian metastasis; Pleural effusion; Pseudo-Meigs’ syndrome