title: Ovarian Hyperstimulation Syndrome with pleural effusion: a case report.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Yuzuncu Yil University, Van, Turkey. recepyildizhan@yahoo.com.
authors.forename: Recep
authors.initials: R
authors.lastname: Yildizhan
authors.forename: Ertan
authors.initials: E
authors.lastname: Adali
authors.forename: Ali
authors.initials: A
authors.lastname: Kolusari
authors.forename: Mertihan
authors.initials: M
authors.lastname: Kurdoglu
authors.forename: Cagdas
authors.initials: C
authors.lastname: Ozgokce
authors.forename: Fulya
authors.initials: F
authors.lastname: Adali