Question:medium
Meigs syndrome is associated with:
Meigs syndrome is associated with:
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Meigs syndrome involves a specific benign solid ovarian tumor causing fluid accumulation in two body cavities.
Updated On: Jun 23, 2026
- Ovarian fibroma, ascites, and pleural effusion
- Ovarian dermoid, ascites, and pleural effusion
- Uterine fibroid, ascites, and pleural effusion
- Ovarian cystadenocarcinoma, ascites, and pleural effusion
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The Correct Option is A
Solution and Explanation
Meigs Syndrome -- Complete Overview
Classical triad:
Pseudo-Meigs syndrome: Same triad but with non-fibroma pelvic masses (teratoma, Brenner tumor, uterine leiomyoma, struma ovarii).
Pathophysiology: Tumor produces peritoneal fluid (ascites) which crosses the diaphragm via lymphatics into the pleural space, preferentially on the right side due to diaphragmatic lymphatic anatomy.
Serum CA-125 may be elevated in Meigs syndrome (may mimic malignancy -- important clinical trap).
\[\boxed{\text{Meigs syndrome: Ovarian fibroma + Ascites + Pleural effusion}}\]
Classical triad:
- Benign ovarian tumor -- most commonly ovarian fibroma (also fibrothecoma, thecoma)
- Ascites
- Pleural effusion (right-sided in 70%, bilateral in 10%, left-sided in 10%)
Pseudo-Meigs syndrome: Same triad but with non-fibroma pelvic masses (teratoma, Brenner tumor, uterine leiomyoma, struma ovarii).
Pathophysiology: Tumor produces peritoneal fluid (ascites) which crosses the diaphragm via lymphatics into the pleural space, preferentially on the right side due to diaphragmatic lymphatic anatomy.
Serum CA-125 may be elevated in Meigs syndrome (may mimic malignancy -- important clinical trap).
\[\boxed{\text{Meigs syndrome: Ovarian fibroma + Ascites + Pleural effusion}}\]
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