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Concentrated ascites re‐infusion therapy for pseudo‐ M eigs' syndrome complicated by massive ascites in large pedunculated uterine leiomyoma
Author(s) -
Yonehara Yukie,
Yanazume Shintaro,
Kamio Masaki,
Togami Shinichi,
Tasaki Takashi,
Douchi Tsutomu
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12448
Subject(s) - medicine , ascites , laparotomy , uterine leiomyoma , abdominal pain , ovarian cancer , cancer antigen , leiomyoma , surgery , cancer , gastroenterology
Pseudo‐ M eigs' syndrome accompanied by massive ascites in uterine leiomyoma is rare. We encountered a rare case of a 37‐year‐old, nulliparous woman with a lower abdominal tumor and severe abdominal distention due to massive ascites. Serum cancer antigen 125 and vascular endothelial growth factor levels were elevated to 1007.9 U/mL and 103 pg/mL, respectively. She was tentatively diagnosed with ovarian cancer. Emergency concentrated ascites re‐infusion therapy was performed to improve dyspnea, abdominal pain, and her preoperative respiratory condition. Concentrated ascites re‐infusion therapy eliminated dyspnea and abdominal discomfort without decreasing serum albumin levels. The patient underwent laparotomy, which revealed a fist‐sized pedunculated uterine leiomyoma arising from the right uterine fundus. Myomectomy was performed. Pseudo‐ M eigs' syndrome mimics advanced ovarian cancer due to massive ascites and markedly elevated serum cancer antigen 125 and vascular endothelial growth factor levels. Concentrated ascites re‐infusion therapy was effective in improving the subjective symptoms of pseudo‐ M eigs' syndrome and the patient's preoperative condition.