Pseudo-Meigs' syndrome is defined as the association of nonmalignant hydrothorax and ascites with any benign or malignant pelvic tumor other than benign solid ovarian tumor. We reported a 38-year-old obese woman who was admitted for massive right-side pleural effusion. The analysis of the pleural fluid revealed an exudate with lymphocyte predominance and an increased adenosine deaminase (ADA) level (49 IU/L). The patient was treated as having tuberculous (TB) pleurisy initially. However, the pleural effusion did not resolve and further examinations disclosed ascites and ovarian cancer. After surgical resection of the ovarian tumor, both the hydrothorax and the ascites resolved markedly and did not recur during the 1-year follow-up. This report described mildly elevated ADA activity in pleural effusions associated with pseudo-Meigs' syndrome. Although a relatively uncommon etiology, pseudo-Meigs' syndrome should be included in the differential diagnosis of a lymphocytic pleural exudate with high ADA activity.
|Translated title of the contribution||以ADA活性偏高之淋巴球性肋膜積水爲表現的Pseudo-Meigs症候群－病例報告|
|Number of pages||7|
|Publication status||Published - 2010|
- adenosine deaminase
- pleural effusion
- Pseudo-Meigs' syndrome