Meigs' syndrome associated with elevated serum CA 125 level and hemoperitoneum.

Jo, Myoung Sook; Kim, Cheol Hong; Rim, So Yi; Kim, Yong Sik; Kim, Seok Mo; Choi, Ho Sun

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(6):1544-1549.
Published online June 1, 2005.

Meigs' syndrome associated with elevated serum CA 125 level and hemoperitoneum.

Myoung Sook Jo, Cheol Hong Kim, So Yi Rim, Yong Sik Kim, Seok Mo Kim, Ho Sun Choi

Department of Obstetrics and Gynecology, Collage of Medicine, Chonnam National University, Gwangju, Korea. seokmo2001@yahoo.co.kr

Abstract

Meigs' syndrome is characterized by the pleural effusion and ascites in patient with soild benign ovarian tumors and the resolution of the effusions after resection of the tumor. Elevated serum carbohydrate antigen 125 (CA125) levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovary tumor. As far as I know, Meigs' syndrome with hemoperitoneum due to ruptured ovarian fibroma has not been reported yet. We present a case of Meigs' syndrome associated with elevated serum CA125 and hemoperitoneum due to ruptured ovarian fibroma.

Key Words: Meigs' syndrome, Hemoperitoneum, Ascites, Pleural effusion, CA125