Unusual ovarian hyperstimulation syndrome presentation:Pleural effusion without ascites.A case report  

作  者:Íngrid Solsona Sara Peralta Yasmina Barral Francisco Fàbregues Pepita Giménez-Bonafé 

机构地区:[1]Department of Physiological Sciences,Physiology Unit,Faculty of Medicine and Health Sciences,Bellvitge Campus,Universitat de Barcelona,IDIBELL,Barcelona 08907,Catalonia,Spain [2]Institut Clinic of Gynecology,Obstetrics and Neonatology,Hospital Clínic,Institut d'Investigacions Biomèdiques August Pi i Sunyer,Faculty of Medicine,University of Barcelona,Barcelona 08036,Catalonia,Spain [3]Department of Physiological Sciences,Faculty of Medicine and Health Sciences,Bellvitge Campus,Universitat de Barcelona,IDIBELL,L'Hospitalet de Llobregat 08907,Barcelona,Spain

出  处:《World Journal of Clinical Cases》2025年第8期26-34,共9页世界临床病例杂志(英文)

摘  要:BACKGROUND Ovarian hyperstimulation syndrome(OHSS)is a life-threatening complication that can occur in the luteal phase or early pregnancy after controlled ovarian stimulation.This case report highlights a unique manifestation of OHSS involving pleural effusion(PE)in a patient without identifiable risk factors.CASE SUMMARY A 39-year-old woman who underwent controlled ovarian hyperstimulation for an in vitro fertilization(IVF)cycle experienced dyspnea on the eleventh day of post oocyte retrieval.The diagnosis was severe OHSS with a unique manifestation of PE without ascites.Clinical management involved fluid balance and treatment with albumin,furosemide,thromboembolic prophylaxis,and thoracentesis.A continued drainage of the pleural cavity was performed.The patient had a favo-rable outcome,and a dichorionic diamniotic gestation passed without incident.CONCLUSION OHSS and its potential complications can include respiratory distress and PE,as well as thromboembolic disorders.

关 键 词:DYSPNEA INFERTILITY In vitro fertilization Ovarian hyperstimulation syndrome Pleural effusion THORACENTESIS Case report 

分 类 号:R737.3[医药卫生—肿瘤]

 

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