• carbohydrate antigen 125;
  • hydrothorax;
  • magnetic resonance image;
  • Meigs’ syndrome;
  • ovarian leiomyoma


Ovarian leiomyoma is a rare tumor. Ovarian leiomyoma accompanied with Meigs’ syndrome is extremely rare. We report a case of ovarian leiomyoma presenting with Meigs’ syndrome, which was first noted as dyspnea in a 79-year-old woman. A whole-body examination revealed a solid mass of the ovary, accumulation of ascites and pleural effusion, and elevated serum carbohydrate antigen 125. Abdominal hysterectomy and salpingo-oophorectomy were carried out. After the surgery, ascites and pleural effusion disappeared. The pathological diagnosis of the removed tumor was leiomyoma of the left ovary. The patient has been healthy for 24 months after the surgery, with no signs of recurrence. We also review the literature on this disease and the clinicopathologic characteristics of the current case are discussed.