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Korean Journal of Reproductive Medicine 2009;36(2):137-142.
Published online June 1, 2009.
Ovarian Hyperstimulation Syndrome with Minimal Ascites and Severe Hydrothorax Induced by Quintuplet Pregnancy.
Hee Jung Jung, Hoon Kim, Young Jin Kim, Seung Yup Ku, Seok Hyun Kim, Young Min Choi, Jung Gu Kim, Shin Young Moon
1Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea.
2Institute of Reproductive Medicine and Population, Medical Research Center, Seoul National University, Seoul, Korea.
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.
Key Words: Ovarian hyperstimulation syndrome (OHSS); Hydrothorax; Minimal ascites; Quintuplet pregnancy
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