{
    "abstract": "The clinical scenario of a female patient with a pelvic mass, elevated CA125 tumour marker, pleural effusion and ascites is often associated with malignancy. However, not all cases are malignant. Non-malignant diseases, such as Meigs syndrome and pseudo-Meigs syndrome, must be part of your differential. We present a 56-year-old woman with dyspnoea secondary to a right pleural effusion. After further investigations, a serum cancer antigen-125 was found to be elevated at 437.3\u2009U/mL. CT of her abdomen and pelvis showed a large heterogeneous mass in the pelvis measuring 13.2\u00d79.7\u00d715.1\u2009cm with mild ascites. She was initially thought to have ovarian carcinoma and underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy with omental biopsy. Pathology from the surgical specimen revealed a hydropic leiomyoma and after removal of pelvic mass her pleural effusion and ascites completely resolved. She was ultimately diagnosed with the rare pseudo-Meigs syndrome.",
    "authors": [
        {
            "affiliation": "Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.",
            "firstname": "Mehrnoosh",
            "initials": "M",
            "lastname": "Pauls"
        },
        {
            "affiliation": "Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.",
            "firstname": "Heather",
            "initials": "H",
            "lastname": "MacKenzie"
        },
        {
            "affiliation": "Medicine, QE2 Health Science Center, Halifax, Nova Scotia, Canada.",
            "firstname": "Ravi",
            "initials": "R",
            "lastname": "Ramjeesingh"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.",
    "doi": "10.1136/bcr-2018-226454\n10.1016/S0735-6757(98)90141-3\n10.1001/archinte.158.12.1378\n10.1016/S0936-6555(98)80071-X\n10.1111/j.1447-0756.2000.tb01323.x\n10.1006/gyno.2001.6251\n10.1159/000067439\n10.1007/s00330-002-1464-5\n10.1043/1543-2165(2004)128<933:PQCAYW>2.0.CO;2\n10.1007/s00404-009-1041-0\n10.3109/01443615.2013.832736\n10.3892/or.2015.3912\n10.1016/j.ygyno.2007.01.050\n10.1007/978-94-017-7215-0_14\n10.1016/j.ejogrb.2008.08.011",
    "journal": "BMJ case reports",
    "keywords": [
        "medical education",
        "obstetrics and gynaecology",
        "oncology"
    ],
    "methods": null,
    "publication_date": "2019-01-13",
    "pubmed_id": "30635302\n28191137\n9672464\n13154792\n9645834\n9704185\n9764648\n11049239\n11585430\n12415199\n12522621\n15270600\n16752689\n18361033\n19322576\n24359072\n25891047\n17433421\n10996681\n26530369\n3479735\n18995946",
    "results": null,
    "title": "Hydropic leiomyoma presenting as a rare condition of pseudo-Meigs syndrome: literature review and a case of a pseudo-Meigs syndrome mimicking ovarian carcinoma with elevated CA125.",
    "xml": "<Element 'PubmedArticle' at 0x78850455dbc0>"
}