ABSTRACT
We present the case of a 35-year-old woman with a severe ovarian hyperstimulation syndrome (OHSS) as a complication of ovulation induction for primary infertility. The clinical picture showed massively enlarged ovaries, pleural effusion and haemoconcentration. She needed a thoracentesis for evacuation of the large pleural effusion. High levels of renin and prorenin were observed in plasma and pleural exudate.
Subject(s)
Enzyme Precursors/analysis , Exudates and Transudates/chemistry , Ovarian Hyperstimulation Syndrome/physiopathology , Pleural Effusion/physiopathology , Renin/analysis , Abortion, Spontaneous , Adult , Chorionic Gonadotropin/adverse effects , Chorionic Gonadotropin/therapeutic use , Female , Humans , Infertility, Female/drug therapy , Ovarian Hyperstimulation Syndrome/etiology , Ovarian Hyperstimulation Syndrome/therapy , Ovulation Induction/adverse effects , Pleural Effusion/etiology , Pleural Effusion/surgery , Pregnancy , ThoracostomyABSTRACT
A case report of a 61-year-old woman who developed a uterine angiosarcoma 6.5 years after primary radiotherapy for a moderately well differentiated squamous cell carcinoma of the uterine cervix stage IB is presented. The diagnosis was confirmed by immunohistochemical studies showing positive staining for Ulex europaeus agglutinin 1 and supported by ultrastructural studies. Though various post-irradiation angiosarcomas are reported in the literature, this is, to our knowledge, the first report of an angiosarcoma of the uterus after radiotherapy.
