Abstract
Differing from Meigs syndrome originated from a benign solid tumor of the ovary, pseudo-Meigs syndrome is defined to originate from a malignant or benign tumor of the ovary or uterine tube and to be associated with ascites and pleural effusion in which removal of the tumor results in disappearance of ascites and pleural effusion. It is relatively rare that pseudo-Meigs syndome is caused by a metastatic ovarian tumor originating from gastric cancer. We report such a case of pseudo-Meigs syndrome originating from gastric cancer. A 76-year-old woman undergone a distal gastrectomy for adenocarcinoma of the stomach complained of cough 2 years after the operation. Ultrasonography and computed tomography showed a tumorous lesion in the right ovary and benign ascites and thoracic effusion. Surgical treatment was again performed and a right oophorectomy was done. Histopathological diagnosis was metastatic adenocarcinoma of the ovary, suggesting that a Krukenberg tumor originating from the gastric cancer presented pseudo-Meigs syndrome. The patient has been free from metastasis or recurrence of gastric cancer for 16 months and ascites and pleural effusion disappeared. But she died from peritonitis carcinomatosa at the 17th month from the second operation. Pseudo-Meigs syndrome originated from metastatic gastrointestinal tumor is extremely rare and so far only six cases have been reported in the Japanese literature.
