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Ovarian Hyperstimulation Syndrome with Minimal Ascites and Severe Hydrothorax Induced by Quintuplet Pregnancy  

Jung, Hee-Jung (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Kim, Hoon (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Kim, Young-Jin (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Ku, Seung-Yup (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Kim, Seok-Hyun (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Choi, Young-Min (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Kim, Jung-Gu (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Moon, Shin-Young (Department of Obstetrics and Gynecology, College of Medicine, Seoul National University)
Publication Information
Clinical and Experimental Reproductive Medicine / v.36, no.2, 2009 , pp. 137-142 More about this Journal
Abstract
Ovarian hyperstimulation syndrome (OHSS) is one of the most common iatrogenic complications induced by assisted reproductive technology. Hydrothorax develops in about 10 percent of patients with severe OHSS and it is usually associated with marked ascites. On the other hand, severe hydrothorax without marked ascites is uncommon, and its pathogenesis remains unclear. We recently experienced a case of severe unilateral hydrothorax with minimal ascites induced by quintuplet pregnancy following intrauterine insemination with controlled ovarian hyperstimulation. Severe hydrothorax was resolved after only conservative and symptomatic management without invasive procedure such as thoracentesis or paracentesis. We report this case with brief review of literature.
Keywords
Ovarian hyperstimulation syndrome (OHSS); Hydrothorax; Minimal ascites; Quintuplet pregnancy;
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1 Annick D, Serge R. Review of clinical course and treatment of ovarian hyperstimulation syndrome. Hum Reprod 2003; 9;77-96   DOI   ScienceOn
2 Tollan A, Holst N, Forsdahl F, Fadnes HO, Oian P, Maltau JM. Transcapillary fluid dynamics during ovarian stimulation for in vitro fertilization. Am J Obstet Gynecol 1990; 162: 554-8   DOI   PUBMED   ScienceOn
3 Golan A, Ron-el R, Herman A, Soffer Y, Weinraub Z, Caspi E. Ovarian hyperstimulation syndrome; an uptodate review. Obstetrics and Gynecology Survey 1989; 44: 430-40   DOI   ScienceOn
4 대한산부인과학회. 부인과학. 제4판. 서울: 고려의학, 2007; 502-7
5 Geva E, Jaffe RB. Role of vascular endothelial growth factor in ovarian physiology and pathology. Fertil Steril 2000; 74:429-38   DOI   ScienceOn
6 Goldsman MP, Pedram A, Dominguez CE, Ciuffardi I, Levin E, Asch RH. Increased capillary permeability induced by human follicular fluid: a hypothesis for an ovarian origin of the hyperstimulation syndrome. Fertil Steril 1995; 63: 268-72   DOI   PUBMED   ScienceOn
7 Levin ER, Rosen GF, Cassidenti DL, Yee B, Meldrum D, Wisot A, et al. Role of vascular endothelial cell growth factor in ovarian hyperstimulation syndrome. J Clin Invest 1998;102: 1978-85   DOI   ScienceOn
8 Friedler S, Rachstein A, Bukovsky I, Ron-El R, Raziel A. Unilateral hydrothorax as a sole and recurrent manifestation of ovarian hyperstimulation syndrome following in-vitro fertilization. Hum Reprod 1998; 13: 859-61   DOI   ScienceOn
9 Gregory WT, Patton PE. Isolated pleural effusion in severe ovarian hyperstimulation: A case report. Am J Obstet Gynecol 1999; 180: 1468-71   DOI   PUBMED   ScienceOn
10 Papanikolaou EG, Tournaye H, Verpoest W, Camus M, Vernaeve V, Van Steirteghem A, et al. Early and late ovarian hyperstilmulation syndrome; early pregnancy out and profile. Hum Reprod 2005; 20: 636-41   DOI   ScienceOn
11 Whelan JG, Vlahos NF. The ovarian hyperstimulation syndrome. Fertil Steril 2000; 73: 883-96   DOI   ScienceOn
12 Kaiser UB. The pathogenesis of the ovarian hyperstimulation syndrome. N Engl J Med 2003; 349: 729-32   DOI   ScienceOn
13 Khairy M, El-Toukhy T, Emovon E, Khalaf Y. Hydrothorax as the sole manifestation of ovarian hyperstimulation syndrome:unusual case and literature review. Reprod Biomed Online 2007; 14: 715-7   DOI   ScienceOn
14 Loret de Mola JR, Arredondo-Soberon F, Randle CP, Tureck RT, Friedlander MA. Markedly elevated cytokines in pleural effusion during the ovarian hyperstimulation syndrome:transudate or ascites? Fertil Steril 1997; 67: 780-2   DOI   ScienceOn