Pseudo-Meigs' Syndrome Presenting as Lymphocytic Pleural Effusion with Elevated Adenosine Deaminase Activity-A Case Report

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Abstract

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
Original languageEnglish
Pages (from-to)44-50
Number of pages7
Journal胸腔醫學
Volume25
Issue number1
Publication statusPublished - 2010

Keywords

  • 腺苷酸脫氨基酶
  • 胸水
  • 肋膜積水
  • Pseudo-Meigs症候群
  • adenosine deaminase
  • hydrothorax
  • pleural effusion
  • Pseudo-Meigs' syndrome

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