Une femme afro-américaine de 31 ans, G0, a été orientée pour infertilité primaire
depuis 18 mois. Ses antécédents indiquaient des cycles menstruels irréguliers, une
galactorrhée nouvellement apparue et deux kystectomies ovariennes bilatérales par
voie laparoscopique. La patiente suivait une psychothérapie pour dépression et anxiété
sévères et prenait 20 mg d’escitalopram (Lexapro) et 100 mg de bupropion (Wellbutrin)
par jour. L’examen physique a révélé un écoulement mammaire bilatéral. Une échographie
endovaginale (EEV) a révélé des échos endométrio-myométriaux normaux et une hypertrophie
asymétrique de l’ovaire gauche, qui mesurait 75 × 59 mm et présentait de multiples
kystes mesurant respectivement 47, 38, 33 et 20 mm; l’ovaire droit ne présentait quant
à lui aucune particularité notable.
Mots clés
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Références
- Diagnosis and treatment of hyperprolactinemia: an Endocrine Society Clinical Practice Guideline.J Clin Endocrinol Metab. 2011; 96: 273-288
- Ovarian hyperstimulation syndrome: an update review.Obstet Gynecol Surv. 1989; 44: 430-440
- Early and late presentation of the ovarian hyperstimulation syndrome: two distinct entities with different risk factors.Hum Reprod. 1994; 9: 792-799
- Spontaneous ovarian hyperstimulation syndrome: case report, pathophysiological classification and diagnostic algorithm.Eur J Obstet Gynecol Reprod Biol. 2013; 169: 143-148
- Radiological illustration of spontaneous ovarian hyperstimulation syndrome.Pol J Radiol. 2015; 80: 217-227
- Follicle-stimulating hormone-secreting pituitary adenoma manifesting as recurrent ovarian cysts in a young woman--latent risk of unidentified ovarian hyperstimulation: a case report.BMC Res Notes. 2013; 6: 408
- Dopamine as a prolactin (PRL) inhibitor.Endocr Rev. 2001; 22: 724-763
- Double pituitary adenomas in a large surgical series.Pituitary. 2019; 22: 620-632
- A functioning FSH-secreting pituitary macroadenoma causing an ovarian hyperstimulation syndrome with multiple cysts resected and relapsed after leuprolide in a reproductive-aged woman.Gynecol Endocrinol. 2012; 28: 56-59
- Exacerbation of ovarian hyperstimulation by leuprolide reveals a gonadotroph adenoma.Fertil Steril. 2002; 78: 1311-1313
Article info
Publication history
Accepted:
June 22,
2022
Received:
April 6,
2022
Footnotes
Divulgations : Les auteurs déclarent qu’ils n’ont rien à divulguer Tous les auteurs indiquent satisfaire aux exigences de la revue pour être désignés comme tels.
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Copyright
© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
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- Clinical Conundrum: Spontaneous Ovarian Hyperstimulation SyndromeJournal of Obstetrics and Gynaecology Canada Vol. 44Issue 11
- PreviewA 31-year-old African American G0 female was referred for primary infertility for 18 months. Her history was significant for irregular menstrual cycles with new onset galactorrhea and 2 previous laparoscopic bilateral ovarian cystectomies. The patient was undergoing psychotherapy for severe depression/anxiety and was treated with escitalopram (Lexapro) 20 mg and bupropion (Wellbutrin) 100 mg daily. Her physical examination was significant for bilateral breast discharge. A transvaginal ultrasound (TVS) revealed normal endo/myometrial echoes and an asymmetric enlarged left ovary measuring 75 × 59 mm with multiple cysts measuring 47, 38, 33, and 20 mm, respectively, whereas the right ovary was unremarkable.
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