Rinaldi M L, Spirtos N J
Department of Obstetrics and Gynecology, Akron City Hospital, Ohio, USA.
Fertil Steril. 1995 May;63(5):1114-7. doi: 10.1016/s0015-0282(16)57558-x.
To describe a patient with severe ovarian hyperstimulation syndrome (OHSS) demonstrating a beneficial result of reduction in abdominal ascites with a chest tube placed for bilateral pleural effusions.
Case report.
Academic hospital.
A 28-year-old white female with primary infertility on hMG (Pergonal; Serono Laboratories, Randolph, MA) therapy.
Intravenous fluids, lasix, and albumin were administered for correction of laboratory abnormalities, including hemoconcentration, hypoalbuminemia, and leukocytosis. A chest tube was placed for treatment of pleural effusions.
Laboratory values of hematologic measures and electrolytes. Resolution of pleural effusions and abdominal ascites as determined by chest roentgenogram and physical examination.
Treatment of OHSS with intravenous fluids, lasix, and albumin corrected the hemoconcentration, hypoalbuminemia, and leukocytosis associated with OHSS. Placement of a chest tube corrected the pleural effusions and abdominal ascites.
This case report demonstrates a beneficial result of reduction in abdominal ascites by a chest tube placed for pleural effusions.
