SÍNDROME DE MEIGS: CONSIDERACIONES  FISIOPATOLÓGICAS y CLÍNICAS

Noemí Atencio; Abby De La Cruz; Fernando M. Sucre

Enviado octubre 30, 2024

Publicado 2026-04-06

Artículos de Investigación

Vol. 19 Núm. 1 (2006): Revista Médico Cientifica

SÍNDROME DE MEIGS: CONSIDERACIONES FISIOPATOLÓGICAS y CLÍNICAS

Noemí Atencio⁺⁻
Abby De La Cruz⁺⁻
Fernando M. Sucre⁺⁻

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DOI: ND

Publicado: 2026-04-06

Derechos de autor 2024 Revista médico científica

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.

Resumen

El Sindrome de Meigs se caracteriza por la presencia de ascitis e hidrotórax asociado a tumor ovárico benigno de consistencia sólida, que se resuelven luego de la resección quirúrgica del tumor. La patogénesis de la efusión pleural y la ascitis, así como la importancia del CA-125 no han sido totalmente dilucidadas. El siguiente artículo de revisión se basa en las consideraciones de esta triada, para informar al lector sobre los pasos a seguir para realizar el diagnóstico correcto y manejo correspondiente.

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Lurie S. Síndrome de Meigs: historia del epónimo.Eur J Obstetric & Gynecology and Reproductive Biology (Edt. Española) 2001; 1: 115-120.
Baskett 1. On the Shoulders of Giants: Eponyms and Names in Obstetrics and Gynecology. London; 1996.
Martín J. Cáncer de ovario. Radiobiologla Revista electrónica 2001; 1:4-6
Griffin JP. Dame Mary Page~the first recorded case of Meigs' syndrome? J R ColI Physicial1s Lond 1996; 30(5): 465.
Scott JR, DiSaia PJ, Hammond CB, Spellacy WN, editors: Danforth's obstetrics and gynecology. nh edition. Philadelphia: Lippincott; 1997, pp. 1082-95.
Sapunar J, Roa J, Meissner A. Hipotiroidismo primario luego de la resección de un Struma ovarii: Report of one case. Rev. Médica Chile 2003(131) 7: 785-7.
Rafael Pila Pérez, Rafael Pila Peláez, Pedro Rosales Torres, Alfredo Guerra,Víctor Holguin Prieto, Luis Felipe Alzate. Hashitoxicosis en estruma ovárico monodérmico. Ginecología y Obstetricia Clínica 2005;6(4):206-10
Nagakura S, Shirai Y, Hatakeyama K. Pseudo-Meigs syndrome caused by secondary ovarian tumors from gastrointestinal cancer: A case report and review of the literature. Dig Surg 2000; 17 (4): 418-9
Kazanov L, Ander DS, Enriquez E, Jaggi FM. PseudoMeigs' Syndrome. Am J Emerg Med 1998; 16(4): 404-5.
Giannacopoulos K, Giannacopoulos Ch, Matalliuotakis 1, ARTíCULO REVISiÓN Neonakí M, Papnicolaou N, Koumantakis E. Pseudo-Meigs syndrome caused by paraovarlan fibroma. Eur J Gynecol Onco11998; 19(4): 389-90.
Cetin B, Aslan S, Akinci M, Atalay C, Cetin A. A long surviving case of Pseudomeigs syndrome caused by Krukenberg tumor of the stomach. Jpn J Clin Oncol 2005; 35: 221-3
Junaid 1, Paz R, Salihu HM, Sharma PP,Alíyu LY. PseudoMeig's syndrome with multiple synchronous benign and malignant pelvic tumors. Arch Gynecol Obstet 2006; 273: 315-8.
Tsakiri SP,Turk CA, Lally KP, Garg K, Morris B. Atypical Meigs' syndrome in a neonate with ovarian torsion associated with an ovarian dermoid cyst. Pediatr Surg Int 2005; 21: 407-9.
Chavda.R. Meigs syndrome.[monografía en internet]. Omaha :eMedicine.com, Inc;2004. [citad018 de mayo de 2006].Disponible en http://www.emedicine.com/med/ topic1422.htm
Abramov Y, Anteby SO, Fasouliotis SJ, Barak V. The role of inflammatory cytokines in Meigs' syndrome;Obstet Gynecol 2002;99:917-9
Abramov Y, Anteby SO, Fasouliotis SJ, Barak V. Markedly elevated levels of vascular endothelial growth factor, fibroblast growth factor, and interleukin 6 in Meigs syndrome. Am J Obstet Gynecol 2001; 184: 354-5
Abramov Y, Anteby SO, Fatum M, Fasouliotis SJ, Barak V. The kinetics of leptin in Meigs' syndrome. Gynecol Oncol 2001; 83: 316-8.
Valdillo M, Vela J, Galindo G , Salazar D. Leptina y su influencia en los principales padecimientos Ginecoobstétricos.Ginecol Obst Mex 2005;73:99-104
Ishiko O, Yoshida H, Sumí 1, Hirai K, Ogita S. Vascular endothelial growth factor levels in pleural and peritoneal fluid in Meigs' syndrome Eur J Obstet Gynecol Reprod Biol 2001; 98(1 ):129-30
Santangelo M, Battaglia M, Vescio G, Sammarco G, Gallelli G, VetereA, Soommella L, Triggiani E. Meigs' syndrome: its clinical picture and treatment. Ann Ital Chir 2000; 71 (1): 115-9
Rozier R, Berger A, Cugnenc PH. Meigs' syndrome: is it possible to make a preoperative diagnosis? J Gynecol Obstet Biol Reprod 1998; 27(5): 517-22.
Bognoni V, QuartuccioAJr, QuartuccioA. Meigs'syndrome with high blood levels of CA 125. A clinical case and review of the literature. Minerva Ginecol 1999; 51 (12): 509-12.
Abad A, Cazorla E, Ruiz F, et al. Meigs' syndrome with elevated CA 125: case report and review of the literature. Eur J Obstet Gynecol Reprod Bio11999; 82(1):97-9.
Patsner B. Meigs syndrome and "false positive" preoperative serum CA-125 leveis: analysis of ten cases. Eur J Gynaecol Oncol 2000; 21: 362-3.
Morán-Mendoza; Alvarado-Luna; Calderillo-Ruiz; SerranoOlvera; López-Graniel; Gallardo-Rincón.Elevated CA125 level associated with Meigs' syndrome: case report and review of the literature. International Journal of Gynecological Cancer 2006.16(1 ):315-318(4)
Vieira S, Halley L, Castelo J, Ferreira A, Oliveira J. Síndrome de Meigs com CA 125 elevado: relato de caso.Sao Paulo Med J 2003.121 (5) 210-2
Choi K, Lee HJ, Pae JC, Oh Sh, Lim SY, Cho EY, Lee SS.Ovarian granulosa cell tumor presenting as Meigs'syndrome with elevated CA125.Korean j lntern Med 2005;20:105-9.
AJ Nemeth and SK Patel. Meigs syndrome revisited. J Thorac Imaging, Apr 2003; 18: 100-3.
Buttin BM, Herzog TJ. Meigs' syndrome with an elevated CA 125 from benign Brenner tumors. Obstet. Gynecol 2001; 98: 980-2
Fajardo J, Fishman D, Keith L. Meigs Syndrome: Does it Relate to the Etiology of Benign Ascites? [serie en Internet]. Parsippany: Quadrant HealthCom, Inc; 2003. [citado 18 de mayo de 2006].Disponible en http://www.femalepatient.com/html/arc/sel/march03/028_03_015.asp

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[1] Lurie S. Síndrome de Meigs: historia del epónimo.Eur J Obstetric & Gynecology and Reproductive Biology (Edt. Española) 2001; 1: 115-120.

[2] Baskett 1. On the Shoulders of Giants: Eponyms and Names in Obstetrics and Gynecology. London; 1996.

[3] Martín J. Cáncer de ovario. Radiobiologla Revista electrónica 2001; 1:4-6

[4] Griffin JP. Dame Mary Page~the first recorded case of Meigs' syndrome? J R ColI Physicial1s Lond 1996; 30(5): 465.

[5] Scott JR, DiSaia PJ, Hammond CB, Spellacy WN, editors: Danforth's obstetrics and gynecology. nh edition. Philadelphia: Lippincott; 1997, pp. 1082-95.

[6] Sapunar J, Roa J, Meissner A. Hipotiroidismo primario luego de la resección de un Struma ovarii: Report of one case. Rev. Médica Chile 2003(131) 7: 785-7.

[7] Rafael Pila Pérez, Rafael Pila Peláez, Pedro Rosales Torres, Alfredo Guerra,Víctor Holguin Prieto, Luis Felipe Alzate. Hashitoxicosis en estruma ovárico monodérmico. Ginecología y Obstetricia Clínica 2005;6(4):206-10

[8] Nagakura S, Shirai Y, Hatakeyama K. Pseudo-Meigs syndrome caused by secondary ovarian tumors from gastrointestinal cancer: A case report and review of the literature. Dig Surg 2000; 17 (4): 418-9

[9] Kazanov L, Ander DS, Enriquez E, Jaggi FM. PseudoMeigs' Syndrome. Am J Emerg Med 1998; 16(4): 404-5.

[10] Giannacopoulos K, Giannacopoulos Ch, Matalliuotakis 1, ARTíCULO REVISiÓN Neonakí M, Papnicolaou N, Koumantakis E. Pseudo-Meigs syndrome caused by paraovarlan fibroma. Eur J Gynecol Onco11998; 19(4): 389-90.

[11] Cetin B, Aslan S, Akinci M, Atalay C, Cetin A. A long surviving case of Pseudomeigs syndrome caused by Krukenberg tumor of the stomach. Jpn J Clin Oncol 2005; 35: 221-3

[12] Junaid 1, Paz R, Salihu HM, Sharma PP,Alíyu LY. PseudoMeig's syndrome with multiple synchronous benign and malignant pelvic tumors. Arch Gynecol Obstet 2006; 273: 315-8.

[13] Tsakiri SP,Turk CA, Lally KP, Garg K, Morris B. Atypical Meigs' syndrome in a neonate with ovarian torsion associated with an ovarian dermoid cyst. Pediatr Surg Int 2005; 21: 407-9.

[14] Chavda.R. Meigs syndrome.[monografía en internet]. Omaha :eMedicine.com, Inc;2004. [citad018 de mayo de 2006].Disponible en http://www.emedicine.com/med/ topic1422.htm

[15] Abramov Y, Anteby SO, Fasouliotis SJ, Barak V. The role of inflammatory cytokines in Meigs' syndrome;Obstet Gynecol 2002;99:917-9

[16] Abramov Y, Anteby SO, Fasouliotis SJ, Barak V. Markedly elevated levels of vascular endothelial growth factor, fibroblast growth factor, and interleukin 6 in Meigs syndrome. Am J Obstet Gynecol 2001; 184: 354-5

[17] Abramov Y, Anteby SO, Fatum M, Fasouliotis SJ, Barak V. The kinetics of leptin in Meigs' syndrome. Gynecol Oncol 2001; 83: 316-8.

[18] Valdillo M, Vela J, Galindo G , Salazar D. Leptina y su influencia en los principales padecimientos Ginecoobstétricos.Ginecol Obst Mex 2005;73:99-104

[19] Ishiko O, Yoshida H, Sumí 1, Hirai K, Ogita S. Vascular endothelial growth factor levels in pleural and peritoneal fluid in Meigs' syndrome Eur J Obstet Gynecol Reprod Biol 2001; 98(1 ):129-30

[20] Santangelo M, Battaglia M, Vescio G, Sammarco G, Gallelli G, VetereA, Soommella L, Triggiani E. Meigs' syndrome: its clinical picture and treatment. Ann Ital Chir 2000; 71 (1): 115-9

[21] Rozier R, Berger A, Cugnenc PH. Meigs' syndrome: is it possible to make a preoperative diagnosis? J Gynecol Obstet Biol Reprod 1998; 27(5): 517-22.

[22] Bognoni V, QuartuccioAJr, QuartuccioA. Meigs'syndrome with high blood levels of CA 125. A clinical case and review of the literature. Minerva Ginecol 1999; 51 (12): 509-12.

[23] Abad A, Cazorla E, Ruiz F, et al. Meigs' syndrome with elevated CA 125: case report and review of the literature. Eur J Obstet Gynecol Reprod Bio11999; 82(1):97-9.

[24] Patsner B. Meigs syndrome and "false positive" preoperative serum CA-125 leveis: analysis of ten cases. Eur J Gynaecol Oncol 2000; 21: 362-3.

[25] Morán-Mendoza; Alvarado-Luna; Calderillo-Ruiz; SerranoOlvera; López-Graniel; Gallardo-Rincón.Elevated CA125 level associated with Meigs' syndrome: case report and review of the literature. International Journal of Gynecological Cancer 2006.16(1 ):315-318(4)

[26] Vieira S, Halley L, Castelo J, Ferreira A, Oliveira J. Síndrome de Meigs com CA 125 elevado: relato de caso.Sao Paulo Med J 2003.121 (5) 210-2

[27] Choi K, Lee HJ, Pae JC, Oh Sh, Lim SY, Cho EY, Lee SS.Ovarian granulosa cell tumor presenting as Meigs'syndrome with elevated CA125.Korean j lntern Med 2005;20:105-9.

[28] AJ Nemeth and SK Patel. Meigs syndrome revisited. J Thorac Imaging, Apr 2003; 18: 100-3.

[29] Buttin BM, Herzog TJ. Meigs' syndrome with an elevated CA 125 from benign Brenner tumors. Obstet. Gynecol 2001; 98: 980-2

[30] Fajardo J, Fishman D, Keith L. Meigs Syndrome: Does it Relate to the Etiology of Benign Ascites? [serie en Internet]. Parsippany: Quadrant HealthCom, Inc; 2003. [citado 18 de mayo de 2006].Disponible en http://www.femalepatient.com/html/arc/sel/march03/028_03_015.asp

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