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The lifetime risk of developing an ovarian malignancy is reported to be 1.4% [1,2]. Invasive epithelial ovarian cancers have the highest prevalence in women between 60-64 years while germ cell or borderline tumours pre-dominate in women under 40 years [2]. We report the case of a 33-yearold nulliparous woman with a 7 kg leiomyoma, extensive endometriosis and several radiological features suggestive of a high stage ovarian malignancy. Meigs syndrome typically presents as a triad of ascites, pleural effusion and a benign ovarian fibroma [3]. Psuedo-meigs syndrome differs by presentation with ascites, pleural effusion and alternative benign tumours of the ovary such as mucinous cystadenomas, teratomas, struma ovarii and uterine leiomyomas [4]. However, in this reported case we demonstrate normal ovarian appearance and histology.

A Pelvic Mass Masquerading as High Stage Malignancy - An Interesting Presentation of Psuedo-Meigs Syndrome