Perioperative Management of Two Cases with Giant Ovarian Tumor Complicated with Pseudo-Meigs Syndrome Just before Surgery

Pseudo-Meigs syndrome is a condition characterized by pleural effusion or ascites associated with intra-abdominal tumors other than benign ovarian tumors that can be successfully treated by resection. Here we report two cases of Pseudo-Meigs syndrome with pleural effusion that was not detected on pr...

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Published inTHE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA Vol. 42; no. 4; pp. 328 - 334
Main Authors YOSHIOKA, Toshiki, ISHIDA, Kazuyoshi, OTAKE, Yuka, KOBORI, Ayumi
Format Journal Article
LanguageJapanese
Published THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA 15.07.2022
Subjects
Ovarian tumor
Perioperative care
Pleural effusion
Pseudo-Meigs syndrome
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Summary:Pseudo-Meigs syndrome is a condition characterized by pleural effusion or ascites associated with intra-abdominal tumors other than benign ovarian tumors that can be successfully treated by resection. Here we report two cases of Pseudo-Meigs syndrome with pleural effusion that was not detected on preoperative chest radiographs, but was suspected upon an intraoperative postural change and confirmed postoperatively. In both cases, slightly decreased oxygenation was observed at induction of anesthesia, but respiratory status was stable intraoperatively and extubation was performed in the operating room. In patients with massive ovarian tumors compressing the pelvic and abdominal organs or ovarian tumors with fluid accumulation, Pseudo-Meigs syndrome with pleural effusion may develop rapidly even if preoperative examinations do not detect ascites. Perioperative care should take pleural effusion and ascites into consideration by observing respiratory status preoperatively and performing additional chest X-rays if necessary.
ISSN:0285-4945
1349-9149
DOI:10.2199/jjsca.42.328