Abstract
True Meig's syndrome is characterized by ascites and hydrothorax associated with a fibroma of the ovaries, which disappear immediately after the ovarian tumor is excised. If a pelvic tumor other than fibroma is associated, it is called pseudo Meig's syndrome.
A 39-year-old woman was admitted to the hospital because of constipation and diarrhea. Based on digital examination and barium enema, she was diagnosed as having a rectal cancer. During examination of any metastases to other organs, pleural effusion, ascites, and a ovarian tumor were found. A diagnosis of metastases to the ovary and peritoneum from the rectal cancer was made, and operation was performed. During surgery no metastasis in the liver and peritoneum was found and a Krukenberg tumor was seen in the right ovary. Abdominoperineal excision of the rectum and right-lateral oophorectomy were carried out. In an early period after surgery pleural effusion and ascites were rapidly resolved, that might demonstrate this case was Meig's syndrome in a broad sense.
