Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome
Ovarian hyperstimulation syndrome (OHSS) presents in ~33% of ovarian stimulation cycles with clinical manifestations varying from mild to severe. Its pathogenesis is unknown. Pleural effusion is reported in ~10% of severe OHSS cases and is usually associated with marked ascites. The isolated find...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2011/967849 |
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| author | Christine M. Mullin M. Elizabeth Fino Andrea Reh Jamie A. Grifo Frederick Licciardi |
| author_facet | Christine M. Mullin M. Elizabeth Fino Andrea Reh Jamie A. Grifo Frederick Licciardi |
| author_sort | Christine M. Mullin |
| collection | DOAJ |
| description | Ovarian hyperstimulation syndrome (OHSS) presents in ~33% of ovarian stimulation cycles with clinical manifestations varying from mild to severe. Its pathogenesis is unknown. Pleural effusion is reported in ~10% of severe OHSS cases and is usually associated with marked ascites. The isolated finding of pleural effusions without ascites, as the main presenting symptom of OHSS is not frequently reported and its pathogenesis is also unknown. We describe two unusual cases of OHSS where dyspnea secondary to unilateral pleural effusion was the only presenting symptom. By reporting our experience, we would like to heighten physicians' awareness in detecting these cases early, as it is our belief that the incidence of pleural effusion in the absence of most commonly recognized risk factors for OHSS may be underestimated and may significantly compromise the health of the patient if treatment is not initiated in a reasonable amount of time. |
| format | Article |
| id | doaj-art-29ab0dd90df04861acdba55c96606a82 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-29ab0dd90df04861acdba55c96606a822025-02-03T06:08:11ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922011-01-01201110.1155/2011/967849967849Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation SyndromeChristine M. Mullin0M. Elizabeth Fino1Andrea Reh2Jamie A. Grifo3Frederick Licciardi4NYU Fertility Center, New York University, 660 First Avenue, 5th Floor, New York, NY 10016, USANYU Fertility Center, New York University, 660 First Avenue, 5th Floor, New York, NY 10016, USANYU Fertility Center, New York University, 660 First Avenue, 5th Floor, New York, NY 10016, USANYU Fertility Center, New York University, 660 First Avenue, 5th Floor, New York, NY 10016, USANYU Fertility Center, New York University, 660 First Avenue, 5th Floor, New York, NY 10016, USAOvarian hyperstimulation syndrome (OHSS) presents in ~33% of ovarian stimulation cycles with clinical manifestations varying from mild to severe. Its pathogenesis is unknown. Pleural effusion is reported in ~10% of severe OHSS cases and is usually associated with marked ascites. The isolated finding of pleural effusions without ascites, as the main presenting symptom of OHSS is not frequently reported and its pathogenesis is also unknown. We describe two unusual cases of OHSS where dyspnea secondary to unilateral pleural effusion was the only presenting symptom. By reporting our experience, we would like to heighten physicians' awareness in detecting these cases early, as it is our belief that the incidence of pleural effusion in the absence of most commonly recognized risk factors for OHSS may be underestimated and may significantly compromise the health of the patient if treatment is not initiated in a reasonable amount of time.http://dx.doi.org/10.1155/2011/967849 |
| spellingShingle | Christine M. Mullin M. Elizabeth Fino Andrea Reh Jamie A. Grifo Frederick Licciardi Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome Case Reports in Obstetrics and Gynecology |
| title | Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome |
| title_full | Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome |
| title_fullStr | Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome |
| title_full_unstemmed | Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome |
| title_short | Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome |
| title_sort | symptomatic isolated pleural effusion as an atypical presentation of ovarian hyperstimulation syndrome |
| url | http://dx.doi.org/10.1155/2011/967849 |
| work_keys_str_mv | AT christinemmullin symptomaticisolatedpleuraleffusionasanatypicalpresentationofovarianhyperstimulationsyndrome AT melizabethfino symptomaticisolatedpleuraleffusionasanatypicalpresentationofovarianhyperstimulationsyndrome AT andreareh symptomaticisolatedpleuraleffusionasanatypicalpresentationofovarianhyperstimulationsyndrome AT jamieagrifo symptomaticisolatedpleuraleffusionasanatypicalpresentationofovarianhyperstimulationsyndrome AT fredericklicciardi symptomaticisolatedpleuraleffusionasanatypicalpresentationofovarianhyperstimulationsyndrome |