title: Thoracic endometriosis unmasked by ovarian hyperstimulation for in vitro fertilization.
abstract: Thoracic endometriosis syndrome is a well-described, rare manifestation of endometriosis. We present a case of a 35-year old woman undergoing controlled ovarian stimulation prior to in vitro fertilization (IVF) who developed bilateral hemorrhagic pleural effusions. She was initially diagnosed with ovarian hyperstimulation syndrome, a complication of infertility therapy; however, she was later found to have occult thoracic endometriosis. We describe ovarian hyperstimulation syndrome and review the manifestations of thoracic endometriosis syndrome. Although endometriosis is a hormone-dependent disease, the rate of IVF complications related to endometriosis is low.
authors.affiliation: OHSU Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd BTE-119, Portland, Oregon 97239, USA. halvorss@ohsu.edu
authors.forename: Stephanie A C
authors.initials: SA
authors.lastname: Halvorson
authors.forename: Mari A
authors.initials: MA
authors.lastname: Ricker
authors.forename: Alan F
authors.initials: AF
authors.lastname: Barker
authors.forename: Phillip E
authors.initials: PE
authors.lastname: Patton
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Harrison
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Hunter
mesh_terms: D000328:Adult; D003951:Diagnostic Errors; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D006872:Hydropneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D008168:Lung / Q000473:pathology*; D016471:Ovarian Hyperstimulation Syndrome / Q000175:diagnosis*; D010062:Ovulation Induction / Q000009:adverse effects*; D010996:Pleural Effusion / Q000000981:diagnostic imaging; D011859:Radiography; D013896:Thoracic Diseases / Q000150:complications / Q000175:diagnosis*