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Isolated pleural effusion in severe ovarian hyperstimulation: A case report
1Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Oregon Health Sciences University, Portland, USA.
American Journal of Obstetrics and Gynecology
|June 16, 1999
Summary
Severe ovarian hyperstimulation syndrome can cause fluid buildup in the chest (pleural effusion). This study details rare cases of isolated hydrothorax without abdominal fluid in women undergoing assisted reproductive technology.
Area of Science:
- Reproductive Endocrinology
- Critical Care Medicine
- Pulmonology
Background:
- Controlled ovarian hyperstimulation is standard in assisted reproductive technology (ART) to enhance pregnancy rates.
- Severe ovarian hyperstimulation syndrome (OHSS) is a recognized complication of ART.
- Pleural effusion is a common manifestation of severe OHSS, often associated with ascites.
Observation:
- This report presents two distinct cases of isolated hydrothorax.
- These cases involved significant fluid accumulation in the pleural space but lacked concurrent ascites.
- The patients experienced this rare finding in the context of assisted reproductive technology procedures.
Findings:
- The study highlights the occurrence of isolated hydrothorax in severe OHSS.
- It emphasizes that pleural effusion can manifest without ascites, a deviation from typical presentations.
- A review of existing literature on this rare phenomenon is included.
Implications:
- Recognizing isolated hydrothorax is crucial for accurate diagnosis and management of OHSS.
- This finding expands the understanding of OHSS's clinical spectrum.
- Clinicians should consider hydrothorax in ART patients presenting with respiratory symptoms, even without ascites.