The Meigs’ syndrome, of infrequent presentation in approximately 4% of benign ovarian tumors
, is characterized by the association of a benign tumor of gynecological origin with ascites and pleural effusion, which, in the majority of cases, induces the Clinician to suspect a malignant etiology
. However, these conditions are resolved after tumor excision. Fewer than 60 cases of Meigs’ syndrome have been reported in the literature to date that have a rise in the CA 125 antigen. The first case was documented by Jones and Survit in 1989 in a 70-year-old patient with a fibrothecoma and with an elevation of CA 125
of 226 IU/ml. The association of a Meigs’ syndrome with Sertoli–Leydig tumors is extremely rare, we present the second case reported in the literature. The fact of being able to find the association of these two entities renders it evident that the Clinician should bear this in mind at the time of carrying out the evaluation of a patient with a pelvic injury that is bears a resemblance to advanced-stage ovarian cancer, and even more so if it presents with elevations of CA 125, in that Meigs syndrome will present complete resolution after the tumor excision.
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Author(s): Jessica Salazar Campos, Víctor Hugo Moreno Salazar, Alhely López Arias, María Delia Pérez Montie Gómez and David Cantú de León