AI Article Synopsis
- A 26-year-old woman experienced early onset ovarian hyperstimulation syndrome (OHSS) with severe pleural effusion just four days after receiving an hCG injection as part of her IVF treatment.
- She was admitted to an intensive care unit where treatments included mechanical ventilation and a procedure to drain excess fluid from her pleural cavity.
- After draining 5,300 mL of pleural fluid, her symptoms improved, but the IVF procedure was ultimately canceled due to the complications.
Article Abstract
Objective: To report a case of early onset ovarian hyperstimulation with massive pleural effusion and respiratory failure before IVF.
Design: Case report.
Setting: University teaching intensive care unit.
Patient(s): A 26-year-old healthy woman with an unexplained infertility transferred to the intensive care unit on day 4 after hCG injection for early severe presentation of ovarian hyperstimulation syndrome with massive compressive pleural effusion before she underwent embryo transfer.
Intervention(s): Mechanical ventilation, thoracocentesis.
Main Outcome Measure(s): Resolution of symptoms/stopping of embryos transfer.
Result(s): Drainage of 5,300 mL of sterile exudative pleural fluid for a period of 48 hours, which permitted resolution of symptoms and allowed mechanical weaning. The IVF procedure was stopped.
Conclusion(s): This case described is unusual in that the patient presented with early massive pleural effusion on day 4 after hCG injection and before embryo transfer. This is much earlier than in any case report elsewhere.
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Source |
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| http://dx.doi.org/10.1016/j.fertnstert.2007.06.006 | DOI Listing |
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