Abstract
A 42-year-old married woman was admitted to the hospital for refractory right pleural effusion and ascites of three months duration. Tuberculosis, chronic liver diseases and malignant tumor were ruled out, and clinically Meigs syndrome was highly suspected, but several gynecological examinations revealed no abnormalities. Peritoneoscopic examination showed left ovarial neoplasma which was small egg in size and reddish in color. Therefore bilateral salphingo-oophorectomy was performed. Right pleural effusion and ascites disappeared rapidly several days after surgery and have not recurred. The tumor removed measured 3.2 × 4 × 2cm, consisted of thyroid tissue alone histologically, showed no teratomatous component and represented a pattern of "pure struma ovarii". Including our case, only 15 cases of Meigs syndrome associated with struma ovarii have been reported. Peritoneoscopic examination is useful for diagnosis of this syndrome since it is able to differentiate this syndrome from other diseases.
