LEIOMYOMA CAUSING MASSIVE ASCITES, RIGHT PLEURAL EFFUSION AND RESPIRATORY-DISTRESS - A CASE-REPORT

BACKGROUND: Pseudo-Meigs' syndrome, or atypical Meigs' syndrome, occur s when a pelvic mass other than an ovarian fibroma is present with hyd rothorax and ascites. Leiomyomas rarely cause this condition. CASE: An otherwise healthy 31-year-old woman presented to the emergency depart ment in acute respiratory distress with massive ascites, pleural effus ion and a pedunculated leiomyoma. After receiving mechanical ventilati on, she underwent myomectomy and recovered fully within four weeks. CO NCLUSION: This unique presentation of pseudo-Meigs' syndrome should be included with malignancy in the differential diagnosis of a pelvic ma ss with ascites.