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This case highlights the diagnostic difficulties associated with recurrent pleural effusions, particularly in the context of Pseudo-Meigs syndrome.

C43-21 The Effusion Illusion: A Case of Mistaken Identity

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Case report demonstrates diagnostic challenges of recurrent pleural effusions in an older female, indicating potential misdiagnosis.

This case highlights the diagnostic difficulties associated with recurrent pleural effusions, particularly in the context of Pseudo-Meigs syndrome.
Case presentation of a 69-year-old female with recurrent pleural effusions and ascites
Multiple thoracentesis procedures to analyze pleural fluid
Exploratory laparotomy for definitive diagnosis and surgical intervention.
Initial thoracentesis yielded 2.4L of exudative fluid with negative cytology.
CT imaging revealed a large pelvic mass and elevated cancer markers CA 125 and CA 19-9.
Pathology confirmed mucinous adenocarcinoma following surgical intervention.

Gonzalez et al. (2026) studied this question.

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View Full Paper

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Authors

Case report demonstrates diagnostic challenges of recurrent pleural effusions in an older female, indicating potential misdiagnosis.

This case highlights the diagnostic difficulties associated with recurrent pleural effusions, particularly in the context of Pseudo-Meigs syndrome.
Case presentation of a 69-year-old female with recurrent pleural effusions and ascites
Multiple thoracentesis procedures to analyze pleural fluid
Exploratory laparotomy for definitive diagnosis and surgical intervention.
Initial thoracentesis yielded 2.4L of exudative fluid with negative cytology.
CT imaging revealed a large pelvic mass and elevated cancer markers CA 125 and CA 19-9.
Pathology confirmed mucinous adenocarcinoma following surgical intervention.

Gonzalez et al. (2026) studied this question.

View Full Paper

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