A unilateral hydrothorax as the only manifestation of ovarian hyperstimulation syndrome: a case report.
OBJECTIVE
To describe a rare case of unilateral hydrothorax occurrence after ovarian stimulation for IVF.


METHODS
Case report.


METHODS
A university hospital.


METHODS
A 39-year-old female suffering from primary infertility due to a severe male factor.


METHODS
Thoracocentesis with IV albumin administration for correction of a concomitant hypoalbuminemia.


METHODS
Laboratory values of hematologic measures and electrolytes, screening of the thoracic fluid aspirated for viral and bacterial infections, resolution of pleural effusion after the second thoracocentesis as determined by chest roentgenogram.


RESULTS
Treatment of this manifestation of the ovarian hyperstimulation syndrome (OHSS) by thoracocentesis with albumin perfusion.


CONCLUSIONS
This report describes a very rare case of thoracic complication after ovarian stimulation. It demonstrates that pleural effusion may be the only manifestation of the OHSS and implies a careful management of patients with pulmonary complaints after treatment with exogenous gonadotropins.
Bassil
S
S
Department of Gynecology, University Clinics St. Luc, Brussels, Belgium.
Da Costa
S
S
Toussaint-Demylle
D
D
Lambert
M
M
Gordts
S
S
Donnez
J
J
D000328:Adult; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007275:Injections, Intravenous; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications*; D011677:Punctures; D013902:Radiography, Thoracic; D012709:Serum Albumin / Q000378:metabolism / Q000627:therapeutic use; D013903:Thoracic Surgery
D012709:Serum Albumin