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Symptomatic Isolated Pleural Effusion as an Atypical Presentation of Ovarian Hyperstimulation Syndrome

机译:有症状的孤立性胸腔积液作为卵巢过度刺激综合征的非典型表现

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Ovarian hyperstimulation syndrome (OHSS) presents in ~33% of ovarian stimulation cycles with clinical manifestations varying from mild to severe. Its pathogenesis is unknown. Pleural effusion is reported in ~10% of severe OHSS cases and is usually associated with marked ascites. The isolated finding of pleural effusions without ascites, as the main presenting symptom of OHSS is not frequently reported and its pathogenesis is also unknown. We describe two unusual cases of OHSS where dyspnea secondary to unilateral pleural effusion was the only presenting symptom. By reporting our experience, we would like to heighten physicians' awareness in detecting these cases early, as it is our belief that the incidence of pleural effusion in the absence of most commonly recognized risk factors for OHSS may be underestimated and may significantly compromise the health of the patient if treatment is not initiated in a reasonable amount of time.
机译:卵巢过度刺激综合症(OHSS)占卵巢刺激周期的33%,临床表现从轻度到重度不等。其发病机理未知。约有10%的严重OHSS病例报告有胸腔积液,通常与明显的腹水有关。作为OHSS的主要表现症状,没有腹水的胸水的孤立发现并不经常报道,其发病机理也未知。我们描述了OHSS的两个不寻常病例,其中继发于单侧胸腔积液的呼吸困难是唯一的症状。通过报告我们的经验,我们希望提高医师在早期发现这些病例中的认识,因为我们认为,在没有最普遍公认的OHSS危险因素的情况下,胸腔积液的发生率可能被低估并且可能严重损害健康如果未在合理的时间内开始治疗,则应接受患者的治疗。

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