Compressive pleural effusion after ovarian hyperstimulation syndrome--a case report and review.
OBJECTIVE
To report a case of early onset ovarian hyperstimulation with massive pleural effusion and respiratory failure before IVF.


METHODS
Case report.


METHODS
University teaching intensive care unit.


METHODS
A 26-year-old healthy woman with an unexplained infertility transferred to the intensive care unit on day 4 after hCG injection for early severe presentation of ovarian hyperstimulation syndrome with massive compressive pleural effusion before she underwent embryo transfer.


METHODS
Mechanical ventilation, thoracocentesis.


METHODS
Resolution of symptoms/stopping of embryos transfer.


RESULTS
Drainage of 5,300 mL of sterile exudative pleural fluid for a period of 48 hours, which permitted resolution of symptoms and allowed mechanical weaning. The IVF procedure was stopped.


CONCLUSIONS
This case described is unusual in that the patient presented with early massive pleural effusion on day 4 after hCG injection and before embryo transfer. This is much earlier than in any case report elsewhere.
Beji
Olfa
O
Department of Intensive Care Medicine, CAMU (Centre d'Assistance Médicale Urgente), Tunis, Tunisia.
Brahmi
Nozha
N
Thabet
Hafedh
H
Mokline
Amel
A
Abidi
Nour
N
Blel
Youssef
Y
Kouraichi
Nadia
N
Amamou
Mouldi
M
D000328:Adult; D006063:Chorionic Gonadotropin / Q000627:therapeutic use; D004322:Drainage; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications*; D010996:Pleural Effusion / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy
D006063:Chorionic Gonadotropin