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J Obstet Gynaecol Res. 2000 Aug;26(4):283-7.

Uterine leiomyoma causing massive ascites and left pleural effusion with elevated CA 125: a case report.

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Department of Obstetrics and Gynecology, School of Medicine, Kitasato University, Kanagawa, Japan.


A 51-year-old patient presented with an abdominal mass and ascites as well as a left pleural effusion. Her serum CA125 was 820 U/ml. Surgical exploration revealed a benign leiomyoma of the uterus without malignant cytology in the ascites. Postoperatively, the pleural effusion was resolved dramatically and the CA125 decreased to the normal range after 4 months post-operatively. This is an extremely rare case of pseudo-Meigs' syndrome caused by uterine leiomyoma.

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