Author(s)

Abdoulaye Mihimit^1,2, Alhassane Ismael Toure^1,3*, Oumar Abakar Oumar², Bafode Camara¹, Abdoulaye Keita⁴, Malick Bah⁵, Ermerlindo Rodrigues Pereira^1,3, Ibrahima Dara Diamé^1,3, Bangaly Traore⁴, Sidy Ka⁶, Ahmadou Dem⁶

¹Centre Hospitalier Régional de Fatick, Fatick, Sénégal.
²Université de N’Djamena, N’Djamena, Tchad.
³Université Cheikh Anta Diop de Dakar, Dakar, Sénégal.
⁴Centre Hospitalier Universitaire de Fann, Dakar, Sénégal.
⁵Hôpital Jean Paul II, Conakry, Guinée.
⁶Centre Hospitalier Universitaire Le Dantec, Dakar, Sénégal.

Demons-Meigs syndrome combines a benign tumor of the ovary with thoracic and abdominal effusion, it is a rare disease whose pathophysiological mechanism is not yet well understood. This rare syndrome often gives rise to fear of ovarian neoplasia due to the existence of ascites and the significant elevation of CA 125. In this observation, we report the case of Demons-Meigs syndrome diagnosed in a 36-year-old young woman who presented with pleural and peritoneal effusion syndrome with an ovarian mass and a CA 125 level = 406.6 IU/ml. Laparotomy performed revealed very abundant ascites, the uterus and tubes were healthy, no suspicious peritoneal lesions, the left ovary is healthy, a right ovarian mass of 300 × 150 mm. A right annexectomy was performed. The operative suites were simple with drying of the effusions. The control CA 125 returned to normal after 6 months of follow-up. A pathological anatomy result is a fibrothecoma. Demons-Meigs syndrome has a good prognosis; treatment is based on removal of the ovarian tumor.

Demons-Meigs Syndrome, Ovarian Tumor, CA 125, Ascites, Hydrothorax, Senegal

Mihimit, A. , Toure, A. , Oumar, O. , Camara, B. , Keita, A. , Bah, M. , Pereira, E. , Diamé, I. , Traore, B. , Ka, S. and Dem, A. (2021) Demons-Meigs Syndrome: A Case Report at the Fatick Regional Hospital. Open Journal of Obstetrics and Gynecology, 11, 1735-1743. doi: 10.4236/ojog.2021.1112162.