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Raisonnement clinique : Syndrome d’hyperstimulation ovarienne spontanée

  • Author Footnotes
    ∗ Shruti Agarwal et Diran Chamoun sont co-premiers auteurs.
    Shruti Agarwal
    Correspondence
    Auteure correspondante : Shruti Agarwal
    Footnotes
    ∗ Shruti Agarwal et Diran Chamoun sont co-premiers auteurs.
    Affiliations
    Camran Nezhat Institute, Chirurgie minimalement invasive et robotisée, Woodside, Californie
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  • Author Footnotes
    ∗ Shruti Agarwal et Diran Chamoun sont co-premiers auteurs.
    Diran Chamoun
    Footnotes
    ∗ Shruti Agarwal et Diran Chamoun sont co-premiers auteurs.
    Affiliations
    Viera Fertility Centre, Melbourne, Floride
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  • Rebecca Flyckt
    Affiliations
    University Hospitals de Cleveland, Département d’obstétrique et gynécologie, Beachwood, Ohio
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  • Steven R. Lindheim
    Affiliations
    Département d’obstétrique et gynécologie, École de médecine Boonshoft, Université d’État Wright, Dayton, Ohio

    Collège de médecine de l’Université de Floride centrale, Département d’obstétrique et gynécologie, Orlando, Floride

    Centre de médecine reproductive de l’hôpital Renji, École de médecine, Université Jiao Tong de Shanghai, Shanghai, République populaire de Chine
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  • Author Footnotes
    ∗ Shruti Agarwal et Diran Chamoun sont co-premiers auteurs.
      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.

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      Linked Article

      • Clinical Conundrum: Spontaneous Ovarian Hyperstimulation Syndrome
        Journal of Obstetrics and Gynaecology Canada Vol. 44Issue 11
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          A 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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