title: Continuous vaginal and bilateral thoracic fluid drainage for management of severe ovarian hyperstimulation syndrome.
abstract: Severe ovarian hyperstimulation syndrome (OHSS) is a serious and potentially fatal complication of ovarian stimulation. A 29-year-old nulligravid patient with anovulatory infertility was treated with in vitro fertilization. Six days after embryo transfer, the patient presented with complaint of abdominal bloating, nausea, vomiting and shortness of breath. Severe late-onset OHSS, with massive ascites and pleural effusion, was diagnosed. Posterior colpotomy was performed under general anesthesia, a Foley catheter was inserted into the posterior cul-de-sac, and bilateral chest drainage tubes were left for continuous drainage. In total, 13.2 liters of ascites and 6.1 liters of pleural fluid were drained in 8 days. Continuous drainage of ascites and pleural effusion improved the patient's comfort without need for repeated transvaginal and thoracic aspirations.
authors.affiliation: Department of Obstetrics and Gynaecology, Division of Reproductive Endocrinology and Infertility, Gulhane Military Medical Academy and Medical School, Ankara, Turkey. stceyhan@gata.edu.tr
authors.forename: Seyit Temel
authors.initials: ST
authors.lastname: Ceyhan
authors.forename: Umit
authors.initials: U
authors.lastname: Goktolga
authors.forename: Emre
authors.initials: E
authors.lastname: Karasahin
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alanbay
authors.forename: Namik Kemal
authors.initials: NK
authors.lastname: Duru
mesh_terms: D000328:Adult; D001202:Ascitic Fluid / Q000473:pathology; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D010996:Pleural Effusion / Q000628:therapy; D035423:Thoracic Cavity / Q000473:pathology; D014621:Vagina / Q000473:pathology