|
| Date |
Event |
Details |
|
|
| February2023 |
Initial presentation |
18-year-old female presented with severe breathlessness, gross abdominal distention due to persistent ascites, generalized weakness, and pallor. |
|
| March 2023 |
Initial Diagnostic workup |
Blood tests (CBC, LFTs, RFTs), tumor markers, and imaging studies (ultrasound scan, CT scan, Echo, ECG) performed; all results were unremarkable |
|
| April 2023 |
Repeated paracenteses, and thoracenteses |
Ascitic fluid drained, providing temporary relief. Ascitic fluid analysis showed transudative pattern; GeneXpert analysis for TB was Negative. |
|
| May 2023 |
Persistent symptoms |
Re-accumulation of ascitic fluids within one week despite diuretic therapy and multiple presentences |
|
| June 2023 |
Extended diagnostics investigation |
Additional tests conducted: Chest X-ray, ECG, echocardiogram, serological tests for infections (HIV, HBV, HBC) all Negative, histopathology report Negative |
|
| Jully 2023 |
Specialist referral and continued monitoring |
Referral to a specialist; continued monitoring and symptomatic management with no significant improvement |
|
| August 2023 |
Decision for Exploratory laparotomy |
Due to persistent unexplained ascites and negative findings, a decision was made to perform an exploratory laparotomy. |
|
| September 2023 |
Continued monitoring a waiting for Fund |
Continued monitoring and control of ascites and pleural effusion, with diuretics and paracenteses and thoracenteses as waiting for funds |
|
| October 2023 |
Exploratory laparotomy performed |
Bilateral oophorectomy and salpingectomy performed; intraoperative findings revealed bilateral ovarian tumors |
|
| November 2023 |
Histopathology results |
Histopathology confirmed benign ovarian fibromas consistent with Meigs’ Syndrome; No evidence of malignancy |
|
| December 2023 |
Postoperative recovery |
Patient experienced complete resolution of symptoms, with no further ascites accumulation or abdominal distension |
|
| January- February 2024 |
Follow-up Examination 1. |
Follow-up visit showed stable condition, no recurrence of symptoms, normal physical examination, with maintenance small dose of diuretics |
|
| March-April 2024 |
Second last follow-up examination |
Patient remained asymptomatic with no recurrence of ascites, overall clinical status was stable, and the patient resumed normal activities. |
|
| June 2024 |
Final follow-up examination |
Patient withdrawn from all drugs. Patient remained asymptomatic with no recurrence of ascites. |
|
