DOI: 10.36347/sasjm.2020.v06i04.005

Pages: 133-136

Introduction: Demons-Meigs syndrome associates a benign tumor of the ovary and serous effusions (pleural, peritoneal) recurrent most resorbable after removal of the primary tumor. Very rare, its physiopathology remains obscure. Through three observations and a review of the literature, we report the peculiarities of Demons meigs syndrome. Our Observations: We report three cases of patients aged 47 years, 51 years, and 63 years respectively. The reason for consultation was chest pain in all our patients. The clinical examination revealed a syndrome of unilateral fluid effusion in two cases, bilateral in one case, and physical signs of ascites in all three cases. Abdominal-pelvic imaging demonstrated an ovarian-dependent abdomino-pelvic mass. The dosage of the CA125 tumor marker was very high in all our patients with an average of 741 IU / ml. Surgical exploration revealed seroematic ascites with no suspect peritoneal lesions and a bulky ovarian fibrothecoma in all our patients. The operative sequences were simple, with a total and spontaneous draining of the effusions. Conclusion: Demons-Meigs syndrome is a benign pathology with good prognosis. The treatment is purely surgical. The excision of the ovarian tumor results in a drying of the pleural and peritoneal effusions.