44 Open Access Case Report Submit your manuscript | jitm2012@jitm.hk www.jitm.hk ABSTRACT Background: Meig’s syndrome is a rare syndrome characterized by a triad of recurrent pleural effusions, ascites, and the finding of a benign ovarian fibroma on diagnostic imaging and histopathological evaluation. Patients can present with any of the constellation of symptoms attributing to the disease state. With pleural effusions they can present with shortness of breath, chest pressure, dyspnea on exertion; symptoms that can be confused with the exacerbation of congestive heart failure. Ascites can present with abdominal tenseness, pain, bloating, cramping, constipation, and elevated liver enzymes. The fnding of a benign ovarian fbroma is found only during diagnostic imaging and histopathological evaluation. Case report: The patients was an 85-year-old female with a recent history of coronary artery bypass graft surgery for her severe coronary artery disease presented with the chief complaint of generalized malaise, abdominal pain, constipation of few days. She was initially scheduled to have her second therapeutic thoracentesis for her recurrent pleural effusion as an outpatient procedure but complained of the former symptoms and was admitted for observation and treatment of her abdominal symptoms. Her recurrent pleural effusions were initially attributed to the complications of her coronary artery bypass graft surgery for her severe coronary artery disease. During the admission and evaluation she was diagnosed with Meig’s syndrome. She underwent a left oophorectomy with total abdominal hysterectomy that led to the resolution of all her symptoms. Conclusion: Meig’s syndrome is a rare syndrome characterized by the triad of recurrent pleural effusions, ascites, and the fnding of a benign ovarian fbroma. The diagnosis and knowledge of this syndrome holds the key to its treatment. The treatment generally involves the resection of the ovarian fbroma. After the resection of the ovarian fbroma patients recover from the inconvenient pleural effusions and ascites with no recurrence or future surveillance needed. Meig’s Syndrome: A Triad of Pleural Effusion, Abdominal Ascites, and Benign Ovarian Fibroma Yaseen Ali, Amila M. Parekh, Rahul K. Rao, Taseen Ali, Linda S. Schneider, Jordan Garvey, Mirza R. Baig Department of Medicine, Ohio University, 120 Chibb Hall, Athens, Ohio, 45701, United States Meig’s Syndrome: A Triad of Pleural Effusion, Abdominal Ascites and Benign Ovarian Fibroma J Int Transl Med, 2015, 3(1):44-46; doi: 10.11910/2227-6394.2015.03.01.09 Introduction Pleural effusions due to coronary artery bypass graft surgery for coronary artery disease has been reported in the literature as a rare complication of the procedure [1] . During our literature search the exact mechanism by which this complication develops was poorly understood. Majority of the hypothesis exists attributing it to the failure of compensatory hemodynamic mechanisms secondary to surgery [2] . In most patients pleural effusions eventually subside and they do not require long term therapeutic Key words: Pleural effusion Ascites Meig’s syndrome Ovarian cancer Fibroma thoracentesis. In a small unfortunate subset of patients, this complication ensues and they require long term outpatient therapeutic thoracentesis. Constipation is a common complaint of patients after surgery attributed to the stress of surgery, pain management with opioid, alteration in normal circadian rhythm, dietary changes, among other factors. In most cases, these symptoms last only a few