Symptomatic unilateral pleural effusion: A rare presentation of ovarian hyperstimulation syndrome

George, Kuryan; Aleyamma, TK; Kamath,; Chandy, Achamma; Mangalaraj, Ann M; Muthukumar, K; Londhe, Vaibhav

doi:10.4103/0974-1208.63125

Cited by 6 publications

(7 citation statements)

References 6 publications

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“…This causes displacement of fluids and proteins from intravascular space to third space, with intravascular volume depletion, hypotension, oliguria, ascites and hemoconcentration [4]. It is proposed that pleural effusion could be secondary to transfer of ascites fluid through the diaphragmatic lymphatic or diaphragmatic anatomical defects, which are more frequent on the right side of the diaphragm [6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

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Bilateral Pleural Effusion as Unique Manifestation of Atypical Ovarian Hyperstimulation Syndrome

Guerra¹

2017

RMGO

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Section: Discussionmentioning

confidence: 99%

“…Its etiology and pathogenesis are still uncertain but clinical manifestations are due to an increase of vascular permeability and extravasation of fluid in a third space [2,3]. Ascites is usual, however, pleural effusion is uncommon as isolated manifestation [4][5][6]. It may be present in 10-29% of severe OHSS associated with other symptoms.…”

mentioning

confidence: 99%

Bilateral Pleural Effusion as Unique Manifestation of Atypical Ovarian Hyperstimulation Syndrome

Guerra¹

2017

RMGO

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“…Yapılan bir olgu sunumunda OHSS'na bağlı plevral efüzyonda görülen sıvının karakterinin eksuda vasfında olduğu ve (LDH) değerlerinin normal olduğundan bahsedilmiştir. İzole plevral efüzyon OHSS'nun oldukça nadir bir sunumudur (17,18). Olgumuzda da LDH değerleri normal sınırlar içerisinde olduğu görülmüştür.…”

Section: A R T I C L E I N F O R M a T I O N Abstractunclassified

Ovarian Hipersitümülasyon Sendromuna Bağlı İzole Plevral Efüzyon Gelişen Olgu Sunumu

Öz¹,

Çakir²,

Ün³

et al. 2019

MJWBS

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Ovarian Hipersitümülasyon Sendromu (OHSS) infertil hastaların tedavilerinde yardımcı üreme tekniklerinin kullanımının bir komplikasyonu olarak karşımıza çıkabilen overlerin uyarılması amacıyla verilen ilaçlara karşı aşırı bir cevap ve duyarlılık halidir. OHSS'nin farklı klinik evreleri vardır. Yaşamı tehdit edecek kadar ileri evrede olabileceği gibi hafif belirtiler gösteren, hastaların ayaktan takip edilebileceği hafif bir klinik tabloda da olabilir. Her geçen gün daha da artış gösteren yardımcı üreme tekniklerinin kullanımı ile daha sık gözlenecek olan OHSS'nin tanı ve tedavisinde sağlık profesyonellerinin bilgi sahibi olmaları önem arz etmektedir. Acil Kadın Hastalıkları ve Doğum polikliniğimize nefes darlığı ile başvuran plevral efüzyon saptanmış bir vakayı sunarak, öyküsünde over indüksiyonu olan hastalarda OHSS'ye bağlı izole plevral efüzyon gelişebileceğini ve bu durumun pulmoner emboli ayırımında önem arz ettiğini belirtmeyi amaçladık.

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“…The incidence of OHSS is quoted to be as high as 33% of all cycles in some case reports [2]. According to the The World Health Organization (WHO), the incidence of severe OHSS is estimated to be 0.2% to 1% of all stimulation cycles [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…In the susceptible patient, hCG leads to up-regulation and overexpression of vascular endothelial growth factor (VEGF) in the ovary. Vasoactive-angiogenic substances are then released which cause an increase in the vascular permeability, potentially massive third spacing of fluid, and ultimately severe OHSS [1,3]. Pleural effusions are not unusual in severe hyperstimulation (<10%), but they are usually accompanied by marked ascites.…”

Section: Introductionmentioning

confidence: 99%

Isolated pleural effusion as sole presentation of Ovarian Hyperstimulation Syndrome

Jenna¹,

Maureen²

2018

J Case Rep Images Gynecol Obstet

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Introduction: Isolated pleural effusion in severe OHSS is a rare occurrence and is typically associated with high peak estradiol. This case highlights that pleural effusion in setting of severe OHSS can occur in the absence of most of the recognized risk factors for OHSS, including in patients with a low estradiol. It is also the first case report of isolated pleural effusion in OHSS where a Cabergoline resuce protocol was used. Case Report: A 32-year-old known to have Polycystic Ovarian Syndrome (PCOS) underwent Controlled Ovarian Stimulation with hCG trigger, followed by cryopreservation. Her Estradiol on day of hCG trigger was 1761 pg/ml. Due to her history of PCOS, she was started on Cabergoline for prevention of OHSS. On day 7 following hCG trigger, the patient noted new onset of gastroesophageal reflux which was progressive until presentation the emergency room on day 9 for chest pressure. Her abdominal exam was benign. Cardiac workup was negative. She was diagnosed with bilateral pleural effusions (R>L) by CT scan, thought to be secondary to OHSS. She underwent a right thoracentesis where a 450cc of pleural fluid was drained from the right hemithorax. Following the procedure, her symptoms resolved. Conclusion: This report suggests that low/normal E2 is not protective against development of severe

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Symptomatic unilateral pleural effusion: A rare presentation of ovarian hyperstimulation syndrome

Cited by 6 publications

References 6 publications

Bilateral Pleural Effusion as Unique Manifestation of Atypical Ovarian Hyperstimulation Syndrome

Bilateral Pleural Effusion as Unique Manifestation of Atypical Ovarian Hyperstimulation Syndrome

Ovarian Hipersitümülasyon Sendromuna Bağlı İzole Plevral Efüzyon Gelişen Olgu Sunumu

Isolated pleural effusion as sole presentation of Ovarian Hyperstimulation Syndrome

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