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Ovarian Hyperstimulation Syndrome with pleural effusion: a case report
Recep Yildizhan1, Ertan Adali, Ali Kolusari
1Department of Obstetrics and Gynecology, Yuzuncu Yil University, Van, Turkey. recepyildizhan@yahoo.com.
Cases Journal
|November 20, 2008
Summary
Severe ovarian hyperstimulation syndrome (OHSS) can cause pleural effusion. Prompt medical and surgical interventions, including chest tube placement, are effective for managing this complication.
Area of Science:
- Reproductive Endocrinology
- Critical Care Medicine
Background:
- Severe ovarian hyperstimulation syndrome (OHSS) is a potential complication of controlled ovarian hyperstimulation.
- OHSS can lead to significant fluid accumulation, including ascites and pleural effusion.
Purpose of the Study:
- To present a case of severe OHSS complicated by right pleural effusion.
- To highlight the management strategies for this severe presentation.
Main Methods:
- A 24-year-old woman undergoing gonadotropin stimulation developed severe OHSS.
- Management included medical therapy, abdominal paracentesis for ascites, and tube thoracostomy for pleural effusion.
Main Results:
- The patient presented with enlarged ovaries, massive ascites, pleural effusion, abdominal pain, and dyspnea.
- Tube thoracostomy resulted in lung expansion and symptom relief.
Conclusions:
- Monitoring gonadotropin therapy and judicious use of human chorionic gonadotropin can reduce OHSS risk.
- Freezing embryos in in vitro fertilization protocols may be beneficial.
- Chest tube placement is a safe and effective treatment for OHSS-related pleural effusion.
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