Isolated Unilateral Pleural Effusion Without Ascites in Late Onset Ovarian Hyperstimulation Syndrome: A Case Report and Review of Literature

Autor: Shashwati Sen, Tze Tein Yong, Su Ling Yu, Hemashree Rajesh
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Fertility & Reproduction, Vol 1, Iss 2, Pp 69-72 (2019)
Druh dokumentu: article
ISSN: 2661-3182
2661-3174
26613182
DOI: 10.1142/S2661318219300058
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.
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