CHEST TUBE DRAINAGE OF PLEURAL EFFUSION CORRECTING ABDOMINAL ASCITES IN A PATIENT WITH SEVERE OVARIAN HYPERSTIMULATION SYNDROME - A CASE-REPORT

Objective: 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. Design: Case report. Setting: Academic hospital. Patient: A 28-year-old white female with primary infertility on hMG (Pergonal; Serono Laboratories, Randolph, MA) therapy. Interventions: 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. Main Outcome Measures: Laboratory values of hematologic measures and electrolytes. Resolution of pleural effusions and abdominal ascites as determined by chest roentgenogram and physical examination. Results: 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. Conclusion: This case report demonstrates a beneficial result of reduction in abdominal ascites by a chest tube placed for pleural effusions.