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OP36.02: Fetal hypoplastic thymus size measured by sonography is related to conotruncal cardiac defects or intrauterine infection

98 mm × 145 mm with ascites. CT scan confirmed the report. Chest X-Ray showed pleural effusions. Her CA 125 was 182 um/L. The case was discussed at multi-disciplinary team meeting and decided for laparatomy and proceed. Operative findings showed 1 litre of straw coloured ascites aspirated and sent to cytology. 14 cm smooth, firm left ovarian mass was seen. Right ovary and uterus looked normal. Small and large bowel and omentum looked normal. Left oophorectomy with omental biopsy was done. Post operatively, patient made a good recovery and repeat chest x-ray was clear of effusions. Ascitic fluid and omental biopsy was clear of malignant deposits. The histology of the ovarian mass represented a mitotically active celluar firbroma. Retrospectively the case was confirmed as Meigs syndrome. Patient made good postoperative recovery. Future care for the patient is annual follow up. Our case is unique because of histological diagnosis of mitotically active fibroma at such a young age. Recurrence may be local. Irving et alhave recommended long term follow up for all patients with mitotically active cellular fibroma.