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Thoracic Endometriosis Unmasked by Ovarian Hyperstimulation for in vitro Fertilization

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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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Contributors

The authors would like to thank Mithran Sukumar, MD for his collaborative surgical expertise in the management of our patient.

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The authors declare that they do not have a conflict of interest.

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Authors and Affiliations

  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

    Stephanie A. C. Halvorson MD

  2. Providence-Milwaukie Hospital, Portland, Oregon, USA

    Mari A. Ricker MD

  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

    Alan F. Barker MD

  4. Professor of Obstetrics and Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, Oregon, 97239, USA

    Phillip E. Patton MD

  5. Associate Professor of Medicine, OHSU Division of Hospital Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, Oregon, 97239, USA

    Rebecca A. Harrison MD & Alan J. Hunter MD

Authors
  1. Stephanie A. C. Halvorson MD
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  2. Mari A. Ricker MD
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  3. Alan F. Barker MD
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  4. Phillip E. Patton MD
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  5. Rebecca A. Harrison MD
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Corresponding author

Correspondence to Stephanie A. C. Halvorson MD.

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Halvorson, S.A.C., Ricker, M.A., Barker, A.F. et al. Thoracic Endometriosis Unmasked by Ovarian Hyperstimulation for in vitro Fertilization. J GEN INTERN MED 27, 603–607 (2012). https://doi.org/10.1007/s11606-011-1959-3

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  • DOI: https://doi.org/10.1007/s11606-011-1959-3

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