Isolated Unilateral Pleural Effusion Without Ascites in Late Onset Ovarian Hyperstimulation Syndrome: A Case Report and Review of Literature
| Autor: | Hemashree Rajesh, Tze Tein Yong, Su Ling Yu, Shashwati Sen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
lcsh:QH471-489 Pleural effusion Unilateral pleural effusion Ovarian hyperstimulation syndrome 030209 endocrinology & metabolism Late onset Reproductive age Gastroenterology 03 medical and health sciences 0302 clinical medicine late onset ovarian hyperstimulation Internal medicine Ascites medicine lcsh:Reproduction albumin Subclinical infection thoracocentesis 030219 obstetrics & reproductive medicine business.industry medicine.disease isolated pleural effusion hypothyroidism Presentation (obstetrics) medicine.symptom business |
| Zdroj: | Fertility & Reproduction, Vol 1, Iss 2, Pp 69-72 (2019) |
| ISSN: | 2661-3174 2661-3182 |
| Popis: | Isolated pleural effusion is a rare presentation of severe OHSS. Two to four percent of women of reproductive age have subclinical hypothyroidism which is an uncommon association of late onset iatrogenic OHSS. This report describes an unusual patient with isolated unilateral pleural effusion and subclinical hypothyroidism as the only manifestation of late onset OHSS in a singleton pregnancy following in vitro fertilization (IVF). We have summarized current literature related to isolated pleural effusion in late OHSS and evaluated its pathophysiology and treatment options. Albumin infusion may be considered as a plasma expander whenever there is a planned third space drainage. Thyroid profile test in asymptomatic patients planning IVF will help to identify subclinical hypothyroidism. OHSS is a self-limiting condition and a timely diagnosis with aggressive management can be lifesaving. |
| Databáze: | OpenAIRE |
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