Case Report Open Access October 12, 2024

Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo

1
Uganda Technology and Management University, Uganda
Page(s): 16-26
Received
August 10, 2024
Revised
September 21, 2024
Accepted
October 10, 2024
Published
October 12, 2024
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2024. Published by Scientific Publications
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APA Style
Ssemanda, I. , Ssemanda, I. Brenda, K. , Brenda, K. SSenyonga, B. , SSenyonga, B. Nanfuka, M. , & Nanfuka, M. (2024). Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo. Current Research in Public Health, 4(1), 16-26. https://doi.org/10.31586/gjmcr.2024.1087
ACS Style
Ssemanda, I. ; Ssemanda, I. Brenda, K. ; Brenda, K. SSenyonga, B. ; SSenyonga, B. Nanfuka, M. ; Nanfuka, M. Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo. Current Research in Public Health 2024 4(1), 16-26. https://doi.org/10.31586/gjmcr.2024.1087
Chicago/Turabian Style
Ssemanda, Innocent, Innocent Ssemanda. Kalembe Brenda, Kalembe Brenda. Brian SSenyonga, Brian SSenyonga. Mariam Nanfuka, and Mariam Nanfuka. 2024. "Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo". Current Research in Public Health 4, no. 1: 16-26. https://doi.org/10.31586/gjmcr.2024.1087
AMA Style
Ssemanda I, Ssemanda IBrenda K, Brenda KSSenyonga B, SSenyonga BNanfuka M, Nanfuka M. Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo. Current Research in Public Health. 2024; 4(1):16-26. https://doi.org/10.31586/gjmcr.2024.1087
@Article{crph1087,
AUTHOR = {Ssemanda, Innocent and Brenda, Kalembe and SSenyonga, Brian and Nanfuka, Mariam and Daniel, Okello},
TITLE = {Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo},
JOURNAL = {Current Research in Public Health},
VOLUME = {4},
YEAR = {2024},
NUMBER = {1},
PAGES = {16-26},
URL = {https://www.scipublications.com/journal/index.php/GJMCR/article/view/1087},
ISSN = {2831-5162},
DOI = {10.31586/gjmcr.2024.1087},
ABSTRACT = {Introduction: Meigs’ Syndrome, characterized by a benign ovarian tumor that leads to ascites and occasionally pleural effusion, is a rare condition that often presents significant diagnostic challenges, particularly in young female patients. This case report highlights an 18-year-old-female with persistent gross ascites and pleural effusion unresponsive to diuretics, paracentesis, and thoracentesis. Despite extensive diagnostics evaluations including negative results from several tumor makers, histology and pathology reports, Liver and renal function tests, abdominal CT scans, ECHO, Ecg, Chest X-rays and HBV screening PCR test, the underlying causes of the ascites and pleural effusion remained elusive. The diagnosis was only made following an exploratory laparotomy, which revealed the presence of bilateral benign ovarian tumors. Subsequent bilateral Oophorectomy and Salpingectomy resulted in the complete resolution of the ascites. This case underscores not only the importance of considering ovarian pathology in young females with unexplained ascites but also highlights the critical role of exploratory laparotomy when non-invasive diagnostics fails to provide answers. Conclusion: This case emphasizes the need for a high index of suspicious for Meigs’ Syndrome in young females presenting with persistent ascites and pleural effusion, even when standard diagnostic tests yield negative results. It highlights the potential necessity of surgical intervention when other diagnostic approaches fail to identify the underlying causes. Clinicians should be aware of this condition and consider it in their differential diagnosis to ensure appropriate and effective management},
}
%0 Journal Article
%A Ssemanda, Innocent
%A Brenda, Kalembe
%A SSenyonga, Brian
%A Nanfuka, Mariam
%A Daniel, Okello
%D 2024
%J Current Research in Public Health

%@ 2831-5162
%V 4
%N 1
%P 16-26

%T Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo
%M doi:10.31586/gjmcr.2024.1087
%U https://www.scipublications.com/journal/index.php/GJMCR/article/view/1087
TY  - JOUR
AU  - Ssemanda, Innocent
AU  - Brenda, Kalembe
AU  - SSenyonga, Brian
AU  - Nanfuka, Mariam
AU  - Daniel, Okello
TI  - Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo
T2  - Current Research in Public Health
PY  - 2024
VL  - 4
IS  - 1
SN  - 2831-5162
SP  - 16
EP  - 26
UR  - https://www.scipublications.com/journal/index.php/GJMCR/article/view/1087
AB  - Introduction: Meigs’ Syndrome, characterized by a benign ovarian tumor that leads to ascites and occasionally pleural effusion, is a rare condition that often presents significant diagnostic challenges, particularly in young female patients. This case report highlights an 18-year-old-female with persistent gross ascites and pleural effusion unresponsive to diuretics, paracentesis, and thoracentesis. Despite extensive diagnostics evaluations including negative results from several tumor makers, histology and pathology reports, Liver and renal function tests, abdominal CT scans, ECHO, Ecg, Chest X-rays and HBV screening PCR test, the underlying causes of the ascites and pleural effusion remained elusive. The diagnosis was only made following an exploratory laparotomy, which revealed the presence of bilateral benign ovarian tumors. Subsequent bilateral Oophorectomy and Salpingectomy resulted in the complete resolution of the ascites. This case underscores not only the importance of considering ovarian pathology in young females with unexplained ascites but also highlights the critical role of exploratory laparotomy when non-invasive diagnostics fails to provide answers. Conclusion: This case emphasizes the need for a high index of suspicious for Meigs’ Syndrome in young females presenting with persistent ascites and pleural effusion, even when standard diagnostic tests yield negative results. It highlights the potential necessity of surgical intervention when other diagnostic approaches fail to identify the underlying causes. Clinicians should be aware of this condition and consider it in their differential diagnosis to ensure appropriate and effective management
DO  - Case Report: Unmasking Meigs’ Syndrome and the resolution of persistent Ascites after Oophorectomy in an 18-year-old Female at Cleveland Specialized Clinic Wampewo
TI  - 10.31586/gjmcr.2024.1087
ER  -