Case Report: A case report of ovarian fibroids torsion with ascites and pleural effusion: case report

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Mousavi Vahed Seyede Houra; AFIAT MALIHEH; ALIZADEH FAHIMEH; Khademi Zeynab; Nikoozadeh Azin

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Journal: Tehran University Medical Journal Year:2019 | Volume:77 | Issue:2 Page(s): 137-141

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Title

Case Report: A case report of ovarian fibroids torsion with ascites and pleural effusion: case report

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Keywords

abdominal painQ2

ascitesQ3

meigs syndromeQ1

pleural effusionQ2

Abstract

Background: Ovarian fibroma is the most common benign solid tumor of the ovary. The most common symptoms are abdominal discomfort and pain. Ovarian fibroids are associated with meigs syndrome in 1% to 10% of cases. The aim of study is report of a case of meigs syndrome Case presentation: A 65-year-old menopausal woman who complained of abdominal pain was referred to our academic hospital of Mashhad, Iran, in April 2018. In abdominal examination, a soft mass with size of 200×100 mm, was detected. Also leukocytosis and increase in CRP was observed. Marker CA125 was higher than 200. In CT scan in right adnexa heterogeneous mass 170×100 mm with enhancement was reveled. pleural effusion was reported in the both lungs and collapse of underlying lung tissue in Chest X-ray. Explorative laparotomy was performed. ascites and inflamed omentum covered the surface of right ovary was detected. The huge solid-cystic hemorrhagic, irregular mass with a specific pedicle that enclosed in the capsule in right adnexa was seen. Right salpingo-oophorectomy was performed. The result of final pathologic was benign proliferative lesions of mitotic fibroblasts were reported according to ovarian fibroma. Conclusion: In case of accompanying ovarian mass with ascites and pleural effusion, after the exclude of ovarian malignancies, meigs syndrome should be considered in differential diagnosis.

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APA: Copy

Mousavi Vahed, Seyede Houra, AFIAT, MALIHEH, ALIZADEH, FAHIMEH, Khademi, Zeynab, & Nikoozadeh, Azin. (2019). Case Report: A case report of ovarian fibroids torsion with ascites and pleural effusion: case report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 77(2 ), 137-141. SID. https://sid.ir/paper/396142/en

Vancouver: Copy

Mousavi Vahed Seyede Houra, AFIAT MALIHEH, ALIZADEH FAHIMEH, Khademi Zeynab, Nikoozadeh Azin. Case Report: A case report of ovarian fibroids torsion with ascites and pleural effusion: case report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2019;77(2 ):137-141. Available from: https://sid.ir/paper/396142/en

IEEE: Copy

Seyede Houra Mousavi Vahed, MALIHEH AFIAT, FAHIMEH ALIZADEH, Zeynab Khademi, and Azin Nikoozadeh, “Case Report: A case report of ovarian fibroids torsion with ascites and pleural effusion: case report,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 77, no. 2 , pp. 137–141, 2019, [Online]. Available: https://sid.ir/paper/396142/en

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