Meigs' syndrome presenting as haemorrhagic pleural effusion

E. I. Agaba*, C. C. Ekwempu, S. O. Ugoya, G. O. Echejoh

*Corresponding author for this work

Research output: Contribution to journalArticle

7 Citations (Scopus)


Background: The association of a benign ovarian tumor with ascites and hydrothorax that resolve after tumor resection, known as Meigs syndrome is a rare clinical entity. Rarer still is the haemorrhagic form of the syndrome. Objective: To describe a case of benign ovarian tumour associated with ascites and bloody pleural effusion. Methods: A thirty-seven year old woman was referred for the further management of a pleural effusion. A detailed clinical evaluation was carried out, including pleural fluid cytology, chest CT scan and laparatomy. Treatment included antituberculous therapy and finally ovariectomy. Results: The physical examination and a pelvic ultrasonographic scan revealed ascites in addition to a right sided ovarian mass. A chest CT-scan did not show any intrathoracic mass. Repeated pleural fluid cytology showed mesothelial cells but was negative for malignancy. An ovariectomy was performed and histological examination revealed a thecoma fibroma. The pleural effusion and ascites resolved spontaneously thus confirming the diagnosis of Meigs' syndrome. Conclusion: Meigs' syndrome should be considered in the differential diagnosis in female patients with hemorrhagic pleural effusion.

Original languageEnglish
Pages (from-to)253-255
Number of pages3
JournalWest African Journal of Medicine
Issue number3
Publication statusPublished - Jul 2007


  • Meigs' syndrome
  • Ovarietomy
  • Pleural effusion, haemorrhagic
  • Thecoma fibroma
  • Tuberculosis, misdiagnosis

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    Agaba, E. I., Ekwempu, C. C., Ugoya, S. O., & Echejoh, G. O. (2007). Meigs' syndrome presenting as haemorrhagic pleural effusion. West African Journal of Medicine, 26(3), 253-255.