Meigs’ Syndrome

This Images in Clinical Medicine report describes a 51-year-old woman who presented with dyspnea and a pelvic mass. Imaging revealed bilateral pleural effusions, ascites, and a left ovarian tumor. Pleural and ascitic fluids were negative for malignancy. Surgical removal of the tumor revealed a benign ovarian fibroma, consistent with Meigs’ syndrome a rare triad of benign ovarian tumor, ascites, and pleural effusion that mimics ovarian cancer. The patient’s effusions and symptoms resolved postoperatively. The case emphasizes the importance of considering benign etiologies in the differential diagnosis of suspected ovarian malignancy.

This Images in Clinical Medicine report describes a 51-year-old woman who presented with dyspnea and a pelvic mass. Imaging revealed bilateral pleural effusions, ascites, and a left ovarian tumor. Pleural and ascitic fluids were negative for malignancy. Surgical removal of the tumor revealed a benign ovarian fibroma, consistent with Meigs’ syndrome a rare triad of benign ovarian tumor, ascites, and pleural effusion that mimics ovarian cancer. The patient’s effusions and symptoms resolved postoperatively. The case emphasizes the importance of considering benign etiologies in the differential diagnosis of suspected ovarian malignancy.