Ms B is a 59 year old para 2, presented to her GP with abdominal distension. She thought she was gaining weight but it turns out that she was developing ascites. She has no significant history. On examination, she has pleural effusion (stony dullness on percussion especially on the R side), ascites and bilateral ankle oedema. On abdominal examination, there is a hard palpable mass on the R lower quadrant.
I had the chance to scrub in to assist the surgery. The tumour taken out was the size of a grapefruit!! It is a rare and a benign condition. In the US, the prevalence of Meig's syndrome is 1% (or maybe even less than that).
Meig's syndrome will definitely stuck in my head now...
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