TITLE:
Demons-Meigs Syndrome: A Case Report at the Fatick Regional Hospital
AUTHORS:
Abdoulaye Mihimit, Alhassane Ismael Toure, Oumar Abakar Oumar, Bafode Camara, Abdoulaye Keita, Malick Bah, Ermerlindo Rodrigues Pereira, Ibrahima Dara Diamé, Bangaly Traore, Sidy Ka, Ahmadou Dem
KEYWORDS:
Demons-Meigs Syndrome, Ovarian Tumor, CA 125, Ascites, Hydrothorax, Senegal
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.12,
December
22,
2021
ABSTRACT: Demons-Meigs syndrome combines a benign tumor of the
ovary with thoracic and abdominal effusion, it is a rare disease whose
pathophysiological mechanism is not yet well understood. This rare syndrome often
gives rise to fear of ovarian neoplasia due to the existence of ascites and the
significant elevation of CA 125. In this observation, we report the case of
Demons-Meigs syndrome diagnosed in a 36-year-old young woman who presented with
pleural and peritoneal effusion syndrome with an ovarian mass and a CA 125 level = 406.6 IU/ml. Laparotomy performed revealed
very abundant ascites, the uterus and tubes were healthy, no suspicious peritoneal
lesions, the left ovary is healthy, a right ovarian mass of 300 × 150 mm.A right
annexectomy was performed. The operative suites were simple with drying of the effusions. The control CA 125 returned to normal after 6 months
of follow-up. A pathological anatomy result is a fibrothecoma. Demons-Meigs
syndrome has a good prognosis; treatment is based on removal of the ovarian
tumor.