Meigs’ syndrome presenting with pleuritic chest pain and dyspnea: rapid resolution after resection of an ovarian fibroma
Table 1.
Summary of key clinical findings andmanagement
|
| Phase |
Key findings / actions |
|
|
| Presentation |
Progressive exertional dyspnea and right pleuritic chest pain; abdominal bloating and pelvic heaviness. |
|
| Examination |
Normal vital signs; mild right basal dullness to percussion. |
|
| Investigations |
CXR: small right pleural effusion. Abdominal/pelvic U/S: mild free fluid (ascites) and solid right ovarian mass suggestive of fibroma. |
|
| Management |
Laparotomy with total abdominal hysterectomy and bilateral salpingo‑oophorectomy (TAH‑BSO). |
|
| Histopathology |
Ovarian fibroma. |
|
| Outcome |
Dramatic symptomatic improvement; radiologic resolution of pleural effusion and ascites postoperatively. |
|
|
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