A Case with Severe Endometriosis, Ovarian Hyperstimulation Syndrome, and Isolated Unilateral Pleural Effusion after IVF
Joint Authors
Sopa, Negjyp
Larsen, Elisabeth Clare
Andersen, Anders Nyboe
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We present a very rare case of right-sided isolated pleural effusion in a patient with severe endometriosis who, in relation to in vitro fertilization (IVF), developed ovarian hyperstimulation syndrome (OHSS).
Earlier laparotomy showed grade IV endometriosis including endometriotic implants of the diaphragm.
The patient had no known risk factors for OHSS and only a moderate number of oocytes aspirated.
She received, however, repeated hCG injections for luteal support.
The patient did not achieve pregnancy but was hospitalized due to pain in the right side of the chest and dyspnoea.
A chest computed tomography (CT) showed a pleural effusion on the right side.
Total of 1000 ml of pleural fluid was drained after a single thoracentesis.
After three days, the symptoms and fluid production ceased.
Ascites is a common finding in OHSS, but pleural effusions are rare.
Further, isolated pleural effusions have not previously been described in a patient with endometriosis.
We suggest that the repeated hCG injections induced effusions from the endometriotic lesions at the diaphragm and as a consequence this patient developed isolated hydrothorax.
American Psychological Association (APA)
Sopa, Negjyp& Larsen, Elisabeth Clare& Andersen, Anders Nyboe. 2017. A Case with Severe Endometriosis, Ovarian Hyperstimulation Syndrome, and Isolated Unilateral Pleural Effusion after IVF. Case Reports in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147513
Modern Language Association (MLA)
Sopa, Negjyp…[et al.]. A Case with Severe Endometriosis, Ovarian Hyperstimulation Syndrome, and Isolated Unilateral Pleural Effusion after IVF. Case Reports in Obstetrics and Gynecology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1147513
American Medical Association (AMA)
Sopa, Negjyp& Larsen, Elisabeth Clare& Andersen, Anders Nyboe. A Case with Severe Endometriosis, Ovarian Hyperstimulation Syndrome, and Isolated Unilateral Pleural Effusion after IVF. Case Reports in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147513
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147513