Ovarian Hyperstimulation Syndrome with pleural effusion: a case report.
BACKGROUND
To report a case of severe ovarian hyperstimulation syndrome (OHSS) with right pleural effusion following controlled ovarian hyperstimulation.


METHODS
A 24-year-old woman had severe OHSS as a complication of gonadotropin stimulation. The clinical picture showed enlarged ovaries, massive ascites, pleural effusion, abdominal pain, and dyspnea. Beside the medical treatment, abdominal paracentesis for the drainage of the massive ascites and tube thoracostomy were performed, resulting in expansion of the lung.


CONCLUSIONS
Physicians can reduce the risk of OHSS by monitoring gonadotropin therapy and by withholding human chorionic gonadotropin medication. In in vitro fertilization protocols it can be advantageous to postpone the embryo transfer by freezing the embryos. Placement of a chest tube is a safe and efficient method for the treatment of pleural effusion.
Yildizhan
Recep
R
Department of Obstetrics and Gynecology, Yuzuncu Yil University, Van, Turkey. recepyildizhan@yahoo.com.
Adali
Ertan
E
Kolusari
Ali
A
Kurdoglu
Mertihan
M
Ozgokce
Cagdas
C
Adali
Fulya
F