Symptomatic Hemorrhagic Pleural Effusion : A Rare Presentation of Ovarian Hyperstimulation Syndrome : A Case Report

In: International Journal of Health Sciences · 2013 · vol. 7(3) , pp. 347–350 · doi:10.12816/0006064 · PMID:24533029 · W2056011946
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This case report describes a rare instance of isolated hemorrhagic pleural effusion as a manifestation of ovarian hyperstimulation syndrome triggered by human chorionic gonadotropin.

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This case report describes a patient with symptomatic hemorrhagic pleural effusion that was presented as a rare complication of ovarian hyperstimulation syndrome, with the authors detailing the clinical course, diagnostic workup, and resolution in the context of the syndrome. The main finding is that ovarian hyperstimulation syndrome can, in uncommon presentations, involve hemorrhagic pleural effusion as a thoracic manifestation. As a single case report, the study’s key limitation is that it cannot establish frequency, causality, or generalizability beyond the individual patient. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Isolated unilateral pleural effusion is uncommon presentation of ovarian hyperstimulation syndrome. The pathogenesis of this syndrome involves an increased permeability of ovarian capillaries and mesothelial vessels triggered by the release of vasoactive substances by the ovaries under human chorionic gonadotropin stimulation. Physicians should consider this potentially life-threatening diagnosis in all patients who undergo ovarian hyperstimulation. This case highlights a rare clinical manifestation of isolated hemorrhagic pleural effusion associated with ovarian hyperstimulation.
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last seen: 2026-06-10T17:14:06.276822+00:00
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