title: Three Cases of Pseudo-Meigs' Syndrome Secondary to Ovarian Metastases from Colorectal Cancer.
abstract: Pseudo-Meigs' syndrome is used to describe cases of ascites and/or pleural effusion associated with ovarian neoplasms other than benign tumors, which improve after removal of the ovarian lesion. We present three cases of pseudo-Meigs' syndrome secondary to ovarian metastasis from colorectal cancer. In case 1, the patient has severe dyspnea and hypoxia due to massive right pleural effusion; therefore preoperative thoracic drainage was needed. In case 2, the patient needed paracentesis every two or three days to improve abdominal distension. After two courses of 5-fluorouracil, levofolinate, and oxaliplatin (mFOLFOX6), her ascites could be controlled by diuretics without aspiration and her general condition improved. Then she underwent operation. In case 3, the patient developed a massive pleural effusion and ascites coincident with a rapid enlargement of ovarian tumor after resection and adjuvant chemotherapy for rectal cancer. In all cases, pleural effusions and/or ascites resolved and general conditions and daily activities of the patients improved after oophorectomy. They are all currently in good health without recurrence of pleural effusion or ascites. In patients with suspected pseudo-Meigs' syndrome secondary to ovarian metastasis of colorectal cancer, operation including oophorectomy may reduce pleural effusions and/or ascites and improve the general condition.
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Yuta
authors.identifier: 0000-0003-1225-2240
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Yusuke
authors.identifier: 0000-0001-9905-177X
authors.initials: Y
authors.lastname: Miyagawa
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Takehito
authors.initials: T
authors.lastname: Ehara
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Koyama
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakamura
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Takeuchi
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Futoshi
authors.initials: F
authors.lastname: Muranaka
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Kitazawa
authors.affiliation: Department of Gastroenterological Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Miyagawa