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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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.
Identification
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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