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2025-03-16

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cc-by-nc (c) Solsona, Íngrid et al., 2025
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/221777

Unusual ovarian hyperstimulation syndrome presentation: Pleuraleffusion without ascites. A case report

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https://dx.doi.org/10.12998/wjcc.v13.i8.100028

Abstract

Background: Ovarian hyperstimulation syndrome (OHSS) is a life-threatening complication that can occur in the luteal phase or early pregnancy after controlled ovarian stimulation. This case report highlights a unique manifestation of OHSS involving pleural effusion (PE) in a patient without identifiable risk factors. Case summary: A 39-year-old woman who underwent controlled ovarian hyperstimulation for an in vitro fertilization (IVF) cycle experienced dyspnea on the eleventh day of post oocyte retrieval. The diagnosis was severe OHSS with a unique manifestation of PE without ascites. Clinical management involved fluid balance and treatment with albumin, furosemide, thromboembolic prophylaxis, and thoracentesis. A continued drainage of the pleural cavity was performed. The patient had a favorable outcome, and a dichorionic diamniotic gestation passed without incident. Conclusion: OHSS and its potential complications can include respiratory distress and PE, as well as thromboembolic disorders.

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Dispnea, Fecundació in vitro, Esterilitat, Ovaris

Subject (English)

Dyspnea, Fertilization in vitro, Infertility, Ovaries

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Articles publicats en revistes (Ciències Fisiològiques)

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SOLSONA, Íngrid, et al. Unusual ovarian hyperstimulation syndrome presentation: Pleuraleffusion without ascites. A case report. World Journal Of Clinical Cases. 2025. Vol. 13, num. 8. ISSN 2307-8960. [consulted: 15 of August of 2026]. Available at: https://hdl.handle.net/2445/221777

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