2015 Volume 64 Issue 2 Pages 129-137
We report a rare case of Meigs syndrome caused by ovarian metastases from sigmoid colon cancer. A 55-year-old woman was admitted to our hospital for investigation of genital bleeding. Colonoscopy showed type2 tumor in sigmoid colon. CT scan demonstrated bilateral pleural effusion and a right ovarian tumor with mixed cystic and solid portions. A laparotomy was performed based on the suspicion of colon cancer with ovarian metastasis or synchronous cancers of the colon and ovary. A sigmoidectomy with D3 and bilateral oophorectomy with hysterectomy were performed. Ovarian metastasis of colon cancer was diagnosed by immunostaining. The postoperative course was uneventful, pleural effusion decreasing remarkably. The patient discharged on 14 postoperative day. She underwent postoperative chemotherapy consisting of bevasizumab and XELOX in outpatient clinic. She is still alive without any evidence of recurrence 14 months postoperatively. When we encounter female patients who have a pelvic tumor with pleural effusion and ascites, we need to guess Meigs’ syndrome. It is necessary for the patients to have close examination of the alimentary tract. We may not make a wrong diagnosis of this syndrome as terminal stage of carcinomatosa of colorectal cancer.
