A fibroma of the ovary weighing 700 g is found in a 52-year-old woman with right pleural effusion and ascites. The effusion resolves after oophorectomy. This condition is known as:

• A Pseudo-Meigs syndrome
• B Milroy disease
• C Demons-Meigs syndrome
• D Meigs syndrome ✓

Explanation

Classic Meigs syndrome is the triad of a benign solid ovarian tumour (most commonly fibroma), ascites, and hydrothorax (usually right-sided), all of which resolve after tumour removal. Pseudo-Meigs syndrome refers to the same triad but arising from a non-fibroma ovarian or pelvic tumour. The specific combination of fibroma + ascites + pleural effusion reversing after surgery defines true Meigs syndrome.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

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