Thoracic Endometriosis Unmasked by Ovarian Hyperstimulation for in vitro Fertilization

Halvorson SA, Stephanie A C Halvorson, Mari A Ricker, Ricker MA, Alan F Barker, Barker AF, Phillip E Patton, Patton PE, Harrison RA, Rebecca A Harrison, Alan J Hunter, Hunter AJ
Journal of general internal medicine · 2012 · vol. 27(5) , pp. 603–607 · doi:10.1007/s11606-011-1959-3 · PMID:22234445 · PMC3326110 · W2007202719
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This case report describes a 35-year-old woman with bilateral hemorrhagic pleural effusions during IVF ovarian stimulation who was diagnosed with occult thoracic endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports a 35-year-old woman undergoing controlled ovarian stimulation for IVF who developed bilateral hemorrhagic pleural effusions and was initially diagnosed with ovarian hyperstimulation syndrome. After further evaluation, the effusions were attributed to occult thoracic endometriosis rather than OHSS. The authors describe ovarian hyperstimulation syndrome and review clinical manifestations of thoracic endometriosis syndrome, noting that although endometriosis is hormone-dependent, reported rates of IVF-related complications related to endometriosis are low. This paper is centrally about endometriosis — it describes thoracic endometriosis unmasked during IVF-associated ovarian hyperstimulation.

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Abstract

Thoracic endometriosis syndrome is a well-described, rare manifestation of endometriosis. We present a case of a 35-year old woman undergoing controlled ovarian stimulation prior to in vitro fertilization (IVF) who developed bilateral hemorrhagic pleural effusions. She was initially diagnosed with ovarian hyperstimulation syndrome, a complication of infertility therapy; however, she was later found to have occult thoracic endometriosis. We describe ovarian hyperstimulation syndrome and review the manifestations of thoracic endometriosis syndrome. Although endometriosis is a hormone-dependent disease, the rate of IVF complications related to endometriosis is low.
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Abstract

Thoracic endometriosis syndrome is a well-described, rare manifestation of endometriosis. We present a case of a 35-year old woman undergoing controlled ovarian stimulation prior to in vitro fertilization (IVF) who developed bilateral hemorrhagic pleural effusions. She was initially diagnosed with ovarian hyperstimulation syndrome, a complication of infertility therapy; however, she was later found to have occult thoracic endometriosis. We describe ovarian hyperstimulation syndrome and review the manifestations of thoracic endometriosis syndrome. Although endometriosis is a hormone-dependent disease, the rate of IVF complications related to endometriosis is low. Similar content being viewed by others

References

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endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Lung Ovarian Hyperstimulation Syndrome Ovulation Induction Thoracic Diseases Adult Diagnostic Errors Endometriosis Endometriosis Female Fertilization in Vitro Humans Hydropneumothorax Hydropneumothorax Hydropneumothorax Lung Ovarian Hyperstimulation Syndrome Ovulation Induction Pleural Effusion Pleural Effusion

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