# Atypical Psuedo-Demons-Meigs Syndrome Presenting As Acute Dyspnoea With Pseudomembranous Colitis

## TL;DR

A rare case of pseudo-Demons-Meigs syndrome is reported with a malignant ovarian tumor and no ascites.

## Contribution

This case report presents a unique instance of pseudo-Demons-Meigs syndrome with bilateral malignant ovarian tumors and no ascites.

## Key findings

- The case involves a neoplastic tumor rather than a benign one, fitting pseudo-Demons-Meigs syndrome.
- Both ovaries were affected by malignant granulosa theca cell tumors.
- Right-sided pleural effusion occurred without ascites, making the case atypical.

## Abstract

Demons-Meigs syndrome is a rare clinical presentation of benign ovarian mass with hydrothorax and ascites. As ascites can be present in any ovarian mass, hydrothorax is a salient feature of the syndrome. The syndrome is subtyped as atypical in the absence of ascites from the triad. Nevertheless, it is labeled as pseudo-Demons-Meigs syndrome if the ovarian tumor is neoplastic rather than benign. The management of Demons-Meigs syndrome is complex and could be misleading due to pleural effusion and ascites, so an understanding of the syndrome is important. This case report is unique as it has two rare findings of neoplastic tumor and absence of ascites. Furthermore, this case is distinct as both ovaries are involved in malignant granulosa theca cell tumor with right-sided pleural effusion without ascites.