{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:05Z","timestamp":1756320005799,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,4]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Meigs syndrome, characterised by a pelvic mass, ascites and pleural effusion, is commonly associated with benign ovarian fibromas. It can mimic ovarian carcinoma both clinically and radiologically, leading to potential misdiagnosis. Early recognition of Meigs syndrome is crucial to prevent unnecessary interventions, such as chemotherapy or extensive surgery. This is a case summary of a woman in her early 50s who presented with abdominal pain, shortness of breath and a pelvic mass, suggestive of ovarian malignancy. Imaging and elevated CA-125 levels raised suspicion for ovarian cancer. However, histopathological examination of the mass revealed an ovarian fibroma, confirming Meigs syndrome. Meigs syndrome should be considered as part of the differential diagnosis in cases of pelvic masses with ascites and pleural effusion, helping to guide appropriate management and avoid unnecessary treatments.<\/jats:p>","DOI":"10.1136\/bcr-2024-264726","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T15:20:32Z","timestamp":1745335232000},"page":"e264726","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Meigs syndrome mimicking ovarian carcinoma: a diagnostic pitfall"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8212-7547","authenticated-orcid":false,"given":"Rohan","family":"Kapoor","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7059-5383","authenticated-orcid":false,"given":"Mukurdipi","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tejas","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"key":"2025082711100058000_18.4.e264726.1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.3329\/jdmc.v24i1.29569","article-title":"Syndrome Associated With Elevated Ca 125 Level\u2014A Rare Case","volume":"24","author":"Ghani","year":"2015","journal-title":"J Dhaka Med Coll"},{"key":"2025082711100058000_18.4.e264726.2","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.3892\/ol.2015.2927","article-title":"Coexistence of benign struma ovarii, pseudo-Meigs\u2019 syndrome and elevated serum CA 125: Case report and review of the literature","volume":"9","author":"Jin","year":"2015","journal-title":"Oncol Lett"},{"key":"2025082711100058000_18.4.e264726.3","first-page":"142","article-title":"Enormous ovarian fibroma with elevated Ca-125 associated with Meigs\u2019 syndrome. Presentation of a rare case","volume":"37","author":"Sofoudis","year":"2016","journal-title":"Eur J Gynaecol Oncol"},{"key":"2025082711100058000_18.4.e264726.4","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1089\/gyn.2017.0055","article-title":"Struma Ovarii, Pseudo\u2013Meigs\u2019 Syndrome, and Associated Elevated Serum CA-125","volume":"35","author":"Oluwasola","year":"2019","journal-title":"J Gynecol Surg"},{"key":"2025082711100058000_18.4.e264726.5","article-title":"Two Patients With Meigs\u2019 Syndrome and Elevated Serum CA-125: A Case Report","volume":"12","author":"Navarro-Esteva","year":"2020","journal-title":"Cureus"},{"key":"2025082711100058000_18.4.e264726.6","doi-asserted-by":"crossref","first-page":"11155","DOI":"10.12998\/wjcc.v10.i30.11155","article-title":"Giant struma ovarii with pseudo-Meigs\u2019syndrome and raised cancer antigen-125 levels: A case report","volume":"10","author":"Liu","year":"2022","journal-title":"World J Clin Cases"},{"key":"2025082711100058000_18.4.e264726.7","doi-asserted-by":"crossref","first-page":"2333","DOI":"10.18203\/2320-1770.ijrcog20221965","article-title":"Meigs\u2019 syndrome: how we mistook the diagnosis in a tertiary oncology centre in India; an opinion piece on the surgeon\u2019s responsibility in minimizing the stress of the cancer patient and family","volume":"11","author":"Ray","year":"2022","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2025082711100058000_18.4.e264726.8","doi-asserted-by":"crossref","DOI":"10.3390\/medicina59091684","article-title":"Meigs Syndrome and Elevated CA-125: Case Report and Literature Review of an Unusual Presentation Mimicking Ovarian Cancer","volume":"59","author":"Iavarone","year":"2023","journal-title":"Medicina (Kaunas)"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264726","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:10:07Z","timestamp":1756318207000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264726"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4,22]]},"published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1136\/bcr-2024-264726"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264726","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}