Thoracic endometriosis unmasked by ovarian hyperstimulation for in vitro fertilization |
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Authors: | Halvorson Stephanie A C Ricker Mari A Barker Alan F Patton Phillip E Harrison Rebecca A Hunter Alan J |
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Institution: | (1) Assistant Professor of Medicine, OHSU Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd BTE-119, Portland, Oregon 97239, USA;(2) Providence-Milwaukie Hospital, Portland, Oregon, USA;(3) Professor of Medicine, OHSU Division of Pulmonary and Critical Core Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, Oregon 97239, USA;(4) Professor of Obstetrics and Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, Oregon 97239, USA;(5) Associate Professor of Medicine, OHSU Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, Oregon 97239, USA |
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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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