Taiwanese Journal of Obstetrics and Gynecology
Volume 44, Issue 4 , Pages 365-367, December 2005

Transvaginal Resection of an Ovarian Fibroma Presenting as Meigs Syndrome

  • Wei-Hsi Chang

      Affiliations

    • Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Kaohsiung, Taiwan
    • Section of Obstetrics and Gynecology, Kaohsiung Military General Hospital, Kaohsiung, Taiwan
    • ,
  • Chi-Huang Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Kaohsiung, Taiwan
    • ,
  • Jah-Yao Liu

      Affiliations

    • Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Kaohsiung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr. Jah-Yao Liu, Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, 325, Section 2, Cheng-Kung Road, Neihu, Taipei 114, Taiwan

Received 28 June 2005; received in revised form 6 July 2005; accepted 7 July 2005.

Article Outline

Summary 

Objective

Ovarian fibromas are benign neoplasms that arise from the stromal connective tissue of the ovary and constitute 4% of all ovarian neoplasms. We report a case of a twisted ovarian fibroma with ascites and mild pleural effusion which was removed through the vagina under laparoscopic assistance.

Case Report

A 45-year-old female who had suffered from intermittent low back and pelvic pain for a year experienced an exacerbation in pain in the few months before admission. Sonography revealed ascites and a pelvic mass 15 cm in diameter and solid in appearance. After laparoscopic inspection and frozen section study to rule out ovarian malignancy, the tumor was removed vaginally.

Conclusions

Ovarian fibroma with Meigs syndrome can be differentiated from ovarian malignancy with the assistance of pelvic sonography, laparoscopy and intraoperative frozen section study of the tumor. Once ovarian malignancy is ruled out, ovarian fibroma can be excised vaginally.

Key Words:  laparoscopy , Meigs syndrome , ovarian fibroma , transvaginal resection

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References 

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PII: S1028-4559(09)60174-1

doi:10.1016/S1028-4559(09)60174-1

Taiwanese Journal of Obstetrics and Gynecology
Volume 44, Issue 4 , Pages 365-367, December 2005

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