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KMID : 1189220090360020137
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Korean Journal of Reproductive Medicine
2009 Volume.36 No. 2 p.137 ~ p.142
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Ovarian hyperstimulation syndrome with minimal ascites and severe hydrothorax induced by quintuplet pregnancy
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Jung Hee-Jung
Moon Shin-Yong
Kim Jung-Gu
Choi Young-Min
Kim Seok-Hyun
Ku Seung-Yup
Kim Yong-Jin
Kim Hoon
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Abstract
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Ovarian hyperstimulation syndrome (OHSS) is one of the most common iatrogenic complications induced by assisted reproductive technology. Hydrothorax develops in about 10 percent of patients with severe OHSS and it is usually associated with marked ascites. On the other hand, severe hydrothorax without marked ascites is uncommon, and its pathogenesis remains unclear. We recently experienced a case of severe unilateral hydrothorax with minimal ascites induced by quintuplet pregnancy following intrauterine insemination with controlled ovarian hyperstimulation. Severe hydrothorax was resolved after only conservative and symptomatic management without invasive procedure such as thoracentesis or paracentesis. We report this case with brief review of literature.
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KEYWORD
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Ovarian hyperstimulation syndrome (OHSS), Hydrothorax, Minimal ascites, Quintuplet pregnancy
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