Sudden death associated with Meigs syndrome: an autopsy case report

The American Journal of Forensic Medicine and Pathology
Keven K Hlaise, Sydney M Shingange

Abstract

The diagnostic criteria of Meigs syndrome are the presence of ascites and hydrothorax in association with a benign solid ovarian tumor and spontaneous resolution of ascites and pleural effusion on tumor resection. The case of a middle aged woman who died suddenly at home without significant history of illness is presented. Autopsy found a large left ovarian fibroma (which was confirmed histologically), ascites and bilateral pleural effusion with collapsed lungs. The commonest gynecologic causes of sudden death are ruptured ectopic pregnancy and induced abortions. Two case reports of death associated with Meigs syndrome were identified in the literature; both were diagnosed before the patients died. Literature search found no publication on "sudden death associated with Meigs syndrome". This is probably the first report of sudden death associated with Meigs syndrome. The terminal cause of death in this case was collapsed lungs (atelectasis). The autopsy investigation of ascites and or pleural effusion associated with an ovarian mass or lesion should always include consideration of Meigs syndrome.Sudden death associated with Meigs syndrome (undiagnosed in life) ina middle aged female is described, and selected literature on the c...Continue Reading

References

Feb 18, 1967·British Medical Journal·A A Hammouda
Sep 21, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S Lurie
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Citations

May 20, 2014·Forensic Science International : Synergy·Wakako HikijiTatsushige Fukunaga
Jul 25, 2014·The Journal of Obstetrics and Gynaecology Research·Yukie YoneharaTsutomu Douchi
Oct 26, 2018·The American Journal of Forensic Medicine and Pathology·Rosario BarrancoFrancesco Ventura

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