# Case Report: Ovarian dysgerminoma with pseudo-Meigs syndrome in a child

## TL;DR

A 15-year-old girl with a rare ovarian tumor and pseudo-Meigs syndrome showed rapid improvement after surgery and chemotherapy.

## Contribution

This case report highlights the rare association between ovarian dysgerminoma and pseudo-Meigs syndrome in a pediatric patient.

## Key findings

- Surgical resection led to rapid resolution of pleural and ascitic effusions.
- Postoperative chemotherapy resulted in full recovery with no recurrence over 9 months.
- The case underscores the importance of considering rare tumor associations in pediatric gynecological presentations.

## Abstract

Ovarian dysgerminoma is a rare pediatric germ cell tumor, and its association with pseudo-Meigs syndrome (PMS) is exceedingly uncommon. PMS is characterized by massive pleural effusions and ascites accompanying a pelvic mass, which often leads to clinical misdiagnosis. This report describes the case of a 15-year-old female patient who presented with abdominal distension, chest tightness, and significant pleural and ascitic effusions. Following surgical resection of the tumor, the effusions resolved rapidly. Postoperative pathology confirmed the diagnosis of ovarian dysgerminoma. The patient received adjuvant chemotherapy post-surgery, recovered well, and showed no evidence of recurrence during a 9-month follow-up period.