title: Chest tube drainage of pleural effusion correcting abdominal ascites in a patient with severe ovarian hyperstimulation syndrome: a case report.
abstract: OBJECTIVE
  To describe a patient with severe ovarian hyperstimulation syndrome (OHSS) demonstrating a beneficial result of reduction in abdominal ascites with a chest tube placed for bilateral pleural effusions.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Academic hospital.
  
  
  METHODS
  A 28-year-old white female with primary infertility on hMG (Pergonal; Serono Laboratories, Randolph, MA) therapy.
  
  
  METHODS
  Intravenous fluids, lasix, and albumin were administered for correction of laboratory abnormalities, including hemoconcentration, hypoalbuminemia, and leukocytosis. A chest tube was placed for treatment of pleural effusions.
  
  
  METHODS
  Laboratory values of hematologic measures and electrolytes. Resolution of pleural effusions and abdominal ascites as determined by chest roentgenogram and physical examination.
  
  
  RESULTS
  Treatment of OHSS with intravenous fluids, lasix, and albumin corrected the hemoconcentration, hypoalbuminemia, and leukocytosis associated with OHSS. Placement of a chest tube corrected the pleural effusions and abdominal ascites.
  
  
  CONCLUSIONS
  This case report demonstrates a beneficial result of reduction in abdominal ascites by a chest tube placed for pleural effusions.
authors.affiliation: Department of Obstetrics and Gynecology, Akron City Hospital, Ohio, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Rinaldi
authors.forename: N J
authors.initials: NJ
authors.lastname: Spirtos
mesh_terms: D000328:Adult; D001201:Ascites / Q000601:surgery*; D015505:Chest Tubes; D004322:Drainage; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007247:Infertility, Female / Q000628:therapy; D008596:Menotropins / Q000009:adverse effects; D016471:Ovarian Hyperstimulation Syndrome / Q000139:chemically induced / Q000601:surgery*; D010996:Pleural Effusion / Q000601:surgery*
chemical_list: D008596:Menotropins