A Case of Bilateral Pleural Effusion due to Ovarian Hyperstimulation Syndrome.
10.4046/trd.2001.50.5.636
- Author:
Ki Up KIM
;
Sang Hoon HAN
;
Do Jin KIM
;
Bo Ra YOON
;
Hyun Soo YOON
;
Young Kyung LEE
;
Mun Jun NA
;
Soo Taek UH
;
Yong Hoon KIM
;
Choon Sik PARK
- Publication Type:Case Report
- Keywords:
OHSS;
Bilateral pleural effusion;
Exudate
- MeSH:
Ascites;
Capillary Permeability;
Dyspnea;
Exudates and Transudates;
Female;
Humans;
Hypovolemia;
Menstruation;
Ovarian Hyperstimulation Syndrome*;
Ovary;
Ovulation Induction;
Paracentesis;
Pleura;
Pleural Effusion*;
Radiography;
Thorax;
Thromboembolism;
Ultrasonography
- From:Tuberculosis and Respiratory Diseases
2001;50(5):636-640
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ovarin hyperstimulation syndrome (OHSS), an iatrogenic complication of ovarian stimulation, shows varying degrees of clinical manifestations. The pathogenesis of OHSS is an increase of vascular permeability resulting in hypovolemia, thromboembolism, ARDS, and death in sometimes. Pleural effusion is also a result of an increase of vascular permedability in the pleura. Thoracentesis is sometimes required to relieve dyspnea. We report a case of OHSS with bilateral exudative pleural effusfion is a 23 year-old female with resting dyspnea. She was received clomi;hen, FSH, and LH for the treatment of irregular menstruation twenty days previously. The ultrasonogram showed severe ascites and bilaterally huge ovary, and chest radiography showed bilateral effusion. Therapeutic thoracentesis and paracentesis were done for relief of the dyspnea. Two weeks later the bilateral effusion and symptoms disappeared spontaneously.
