A Case of Pseudo-meigs Syndrome that was Difficult to Differentiate from Ovarian Cancer Stage ⅣA

Key Points

• To differentiate between pseudo-Meigs syndrome and ovarian cancer stage IV in a challenging clinical case.
• Conducted MRI and CT scans to evaluate the ovarian tumor and associated conditions.
• Inserted a thoracic drain for fluid control.
• Performed abdominal surgeries including total abdominal hysterectomy and oophorectomy.
• Analyzed cytology samples for malignancy detection.
• Initial imaging suggested ovarian cancer stage IV, with negative cytology findings.
• Surgery revealed no peritoneal dissemination, leading to a diagnosis of pseudo-Meigs syndrome.
• Patient had no recurrence of pleural effusion post-operation.