title: Compressive pleural effusion after ovarian hyperstimulation syndrome--a case report and review.
abstract: 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.
authors.affiliation: Department of Intensive Care Medicine, CAMU (Centre d'Assistance Médicale Urgente), Tunis, Tunisia.
authors.forename: Olfa
authors.initials: O
authors.lastname: Beji
authors.forename: Nozha
authors.initials: N
authors.lastname: Brahmi
authors.forename: Hafedh
authors.initials: H
authors.lastname: Thabet
authors.forename: Amel
authors.initials: A
authors.lastname: Mokline
authors.forename: Nour
authors.initials: N
authors.lastname: Abidi
authors.forename: Youssef
authors.initials: Y
authors.lastname: Blel
authors.forename: Nadia
authors.initials: N
authors.lastname: Kouraichi
authors.forename: Mouldi
authors.initials: M
authors.lastname: Amamou
mesh_terms: 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
chemical_list: D006063:Chorionic Gonadotropin