Meigs syndrome revealed by bilateral ovarian fibroma in postmenopausal woman

Abstract

Ovarian fibroma is one of the rarest solid tumor of the ovary. When it is associated to ascites and to a pleural effusion it realized the rare entity known as Demons Meigs’ syndrome. The diagnosis of this type of tumors is often difficult and it is usually diagnosed through histopathological examination. A malignant tumor must be eliminated especially when it’s associated to an elevated CA 125 serum level. It is confirmed by histopathological examination of surgical specimen. Surgery is the unique treatment of this syndrome by removing the ovarian fibroma (cystectomy) in young women or by salpingo oophorectomy in old one. The resolution of peritoneal and pleural effusion after tumors removing without recurrence confirmed the diagnosis of Meigs syndrome. We report a case of Meigs’syndrome in post-menopausal woman revealed by bilateral ovarian fibroma associated to elevated CA125 serum level mimicked an ovarian malignancy process.