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胸腔子宫内膜异位症被体外受精促排卵所揭示。

Thoracic endometriosis unmasked by ovarian hyperstimulation for in vitro fertilization.

机构信息

OHSU Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd BTE-119, Portland, Oregon 97239, USA.

出版信息

J Gen Intern Med. 2012 May;27(5):603-7. doi: 10.1007/s11606-011-1959-3. Epub 2012 Jan 11.

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.

摘要

胸腔子宫内膜异位症综合征是一种描述明确的、罕见的子宫内膜异位症表现。我们报告了一例 35 岁女性,在接受体外受精(IVF)前进行控制性卵巢刺激,发展为双侧血性胸腔积液。她最初被诊断为卵巢过度刺激综合征,这是不孕治疗的一种并发症;然而,后来发现她患有隐匿性胸腔子宫内膜异位症。我们描述了卵巢过度刺激综合征,并回顾了胸腔子宫内膜异位症综合征的表现。尽管子宫内膜异位症是一种激素依赖性疾病,但与子宫内膜异位症相关的 IVF 并发症发生率较低。

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Clinical practice. Endometriosis.临床实践。子宫内膜异位症。
N Engl J Med. 2010 Jun 24;362(25):2389-98. doi: 10.1056/NEJMcp1000274.
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The impact of IVF procedures on endometriosis recurrence.体外受精程序对子宫内膜异位症复发的影响。
Eur J Obstet Gynecol Reprod Biol. 2010 Jan;148(1):49-52. doi: 10.1016/j.ejogrb.2009.09.007.
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Endometriosis-related pneumothorax after in vitro fertilization embryo transfer procedure: a case report.
J Thorac Cardiovasc Surg. 2010 Apr;139(4):e88-9. doi: 10.1016/j.jtcvs.2008.12.056. Epub 2009 Jun 23.
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Ovarian hyperstimulation syndrome.卵巢过度刺激综合征
Fertil Steril. 2008 Nov;90(5 Suppl):S188-93. doi: 10.1016/j.fertnstert.2008.08.034.
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Thoracic endometriosis syndrome.胸段子宫内膜异位症综合征
Respiration. 2008;75(1):113-9. doi: 10.1159/000105102. Epub 2007 Jun 28.

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