Which syndrome is characterized by the combination of pleural effusion, ascites, and an ovarian mass that resolves after surgery?

• A. Meigs syndrome
• B. Ovarian hyperstimulation syndrome
• C. Ovarian torsion
• D. Ectopic pregnancy

Answer: (A)

Meigs syndrome is defined by a benign ovarian tumor together with ascites and pleural effusion that resolve after the tumor is removed. The key feature is that the fluid accumulations disappear when the tumor is surgically addressed, which is why this triad points to Meigs syndrome. The ovarian tumor is most often a fibroma (or related stromal tumor), and the pleural effusion is frequently seen on the right side, linked to the ascites and diaphragmatic fluid movement.

Ovarian hyperstimulation syndrome involves fluid accumulation during fertility treatment due to enlarged ovaries, not a solitary tumor that resolves with surgery. Ovarian torsion presents with acute pain from twisting of the ovary. Ectopic pregnancy involves pregnancy-related findings and does not produce this triad.