Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Bilateral Pleural Effusion due to Ovarian Hyperstimulation Syndrome

양측 흉수를 동반한 난소과자극증후군(Ovarian Hyperstimulation Syndrome : OHSS) 1례

  • Kim, Ki-Up (Department of Internal medicine, SoonChunHyang University) ;
  • Han, Sang-Hoon (Department of Internal medicine, SoonChunHyang University) ;
  • Kim, Do-Jin (Department of Internal medicine, SoonChunHyang University) ;
  • Yoon, Bo-Ra (Department of Internal medicine, EulJi Medical University) ;
  • Yoon, Hyun-Soo (Department of Internal medicine, EulJi Medical University) ;
  • Lee, Young-Kyung (Department of Internal medicine, EulJi Medical University) ;
  • Na, Mun-Jun (Department of Internal medicine, KunYang University) ;
  • Uh, Soo-Taek (Department of Internal medicine, SoonChunHyang University) ;
  • Kim, Yong-Hoon (Department of Internal medicine, SoonChunHyang University) ;
  • Park, Choon-Sik (Department of Internal medicine, SoonChunHyang University)
  • 김기업 (순천향대학교 의과대학 내과학교실) ;
  • 한상훈 (순천향대학교 의과대학 내과학교실) ;
  • 김도진 (순천향대학교 의과대학 내과학교실) ;
  • 윤보라 (을지의과대학교 내과학교실) ;
  • 윤현수 (을지의과대학교 내과학교실) ;
  • 이영경 (을지의과대학교 내과학교실) ;
  • 나문준 (건양대학교 의과대학 내과학교실) ;
  • 어수택 (순천향대학교 의과대학 내과학교실) ;
  • 김용훈 (순천향대학교 의과대학 내과학교실) ;
  • 박춘식 (순천향대학교 의과대학 내과학교실)
  • Published : 2001.05.31
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Abstract

Ovarin hyperstimulation syndrome (OHSS), an iatrogenic complication of ovarian stimulation, shows varying degrees of clinical manifestations. The pathogenesis of OHSS is an increase of vascular permeability resulting in hypovolemia, thromboembolism, ARDS, and death in sometimes. Pleural effusion is also a result of an increase of vascular permeability in the pleura. Thoracentesis is sometimes required to relieve dyspnea. We report a case of OHSS with bilateral exudative pleural effusion in a 23 year-old female with resting dyspnea. She was received clomiphen, FSH, and LH for the treatment of irregular menstruation twenty days previously. The ultrasonogram showed severe ascites and bilaterally huge ovary, and chest radiography showed bilateral effusion. Therapeutic thoracentesis and paracentesis were done for relief of the dyspnea. Two weeks later the bilataral effusion and symptoms disappeared spontaneously.

저자들은 불임환자에서 성선자극호르몬을 투여하고 발생한 난소과자극증후군에서 심한 임상경과를 보이는 양측성 삼출성 늑막을 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

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