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Meigs’ syndrome presenting with pleuritic chest pain and dyspnea: rapid resolution after resection of an ovarian fibroma

Universal Journal of Obstetrics and Gynecology | Vol 5, Issue 1

Table 1. Summary of key clinical findings andmanagement

PhaseKey findings / actions
PresentationProgressive exertional dyspnea and right pleuritic chest pain; abdominal bloating and pelvic heaviness.
ExaminationNormal vital signs; mild right basal dullness to percussion.
InvestigationsCXR: small right pleural effusion. Abdominal/pelvic U/S: mild free fluid (ascites) and solid right ovarian mass suggestive of fibroma.
ManagementLaparotomy with total abdominal hysterectomy and bilateral salpingo‑oophorectomy (TAH‑BSO).
HistopathologyOvarian fibroma.
OutcomeDramatic symptomatic improvement; radiologic resolution of pleural effusion and ascites postoperatively.