KURODA Hajime    Department   School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine    Position   Professor
Article types	Case report
Language	English
Peer review	Peer reviewed
Title	Pseudo-Meigs' syndrome caused by ovarian metastasis from colon cancer: report of a case.
Journal	Formal name：Surgery today Abbreviation：Surg Today ISSN code：09411291/09411291
Domestic / Foregin	Foregin
Volume, Issue, Page	33(5),pp.387-91
Author and coauthor	Ohsawa Tomonori, Ishida Hideyuki, Nakada Hiroshi, Inokuma Shigehisa, Hashimoto Daijyo, Kuroda Hajime, Itoyama Shinji
Publication date	2003
Summary	We report an extremely rare case of pseudo-Meigs' syndrome caused by ovarian metastases from colon cancer, and review the literature on this unusual entity. A 41-year-old woman was admitted for investigation of abdominal fullness and dyspnea. Preoperative examinations revealed a huge pelvic tumor, adenocarcinoma of the sigmoid colon, marked ascites, and bilateral pleural effusion. Laparotomy confirmed that the huge mass was comprised of bilateral ovarian tumors. Resection of the sigmoid colon and bilateral oophorectomies were performed. Although short-term intrathoracic drainage was required, the hydrothorax and ascites rapidly resolved in the postoperative period. The patient died of disseminated liver and bone metastases 8 months after her operation; however, ascites and hydrothorax were not clinically noted until death. This and five other reported cases demonstrate that ovarian metastasis from colorectal cancer may occasionally cause pseudo-Meigs' syndrome, and that resection of the ovarian lesions could improve the prognosis.
DOI	10.1007/s005950300088
PMID	12734738