AI Article Synopsis
- - A female patient in her 60s had carcinoma in the cecum with metastases in the lungs, ovaries, and peritoneum, leading to symptoms like abdominal swelling and poor appetite due to ascites worsening after 18 months of chemotherapy.
- - After finding no malignant cells in her ascitic fluid, doctors suspected Pseudo-Meigs' syndrome and performed a bilateral salpingo-oophorectomy to alleviate her symptoms and improve her daily functioning.
- - Following the palliative surgery, her ascites resolved, she regained the ability to perform daily activities, and chemotherapy was resumed, with the patient remaining well 10 months later, emphasizing the need to consider Pseudo-Meigs' syndrome in similar cases.
Article Abstract
This case pertains to a female patient in her 60s who was diagnosed with carcinoma in the cecum with lung, ovarian, and peritoneal metastases. She complained of abdominal distension and poor feeding because her ascites and ovarian metastasis worsened 18 months after chemotherapy initiation. Repeated cytologic examination of the ascitic fluid revealed no malignant cells. Therefore, Pseudo-Meigs' syndrome was suspected. Bilateral salpingo-oophorectomy was performed as palliative surgery because of the patient's reduced capacity to perform activities of daily living(ADL)due to ascites. After palliative surgery, her ascites disappeared, and she was able to better perform ADL. Further, chemotherapy was resumed. The patient remains well 10 months after surgery. This case highlights the importance of considering Pseudo-Meigs' syndrome in patients with massive ascites and ovarian metastasis, because surgical resection can improve their quality of life.
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