Abstract
A 39-year-old woman underwent preoperative chemotherapy and laparoscopic low-anterior resection for rectal cancer (Rab, ypT3, ypN1b, ypStageIIIb). Preoperative examinations and intraoperative macroscopic findings showed no significant abnormality in the ovaries. Two months postoperatively, however, she complained of abdominal distention, and work-up examinations revealed massive ascites and pleural effusion with bilateral nodular-cystic enlargement of the ovaries. She underwent bilateral salpingo-oophorectomy, and histopathological findings revealed bilateral ovarian metastasis of the rectal cancer. The ascites and pleural effusion disappeared soon after the surgery and have not recurred. The pathology was considered to be pseudo-Meigs syndrome. Postoperative chemotherapy was administered for 12 months, and there has been no evidence of no recurrence as of this writing 18 months postoperatively.
