Ovarian hyperstimulation syndrome: a potentially fatal complication of early pregnancy

The Journal of Emergency Medicine
Justin J MadillBenjamin P Harrison

Abstract

We present the case of a patient who presented to the Emergency Department (ED) 48 h after successful in vitro fertilization with abdominal pain, hypotension, and free fluid on an ED-focused abdominal sonogram for trauma study. This presentation is typical of Ovarian Hyperstimulation Syndrome (OHSS), a diagnosis that may be unfamiliar to many Emergency Physicians. With the increasing frequency of in vitro fertilization procedures, this disease process is becoming more common. Numerous complications can occur with OHSS, including third-space fluid accumulation, hemoconcentration, renal failure, and thromboembolic phenomena. Vigilance is required as these patients are at increased risk of ovarian torsion, ovarian rupture with internal hemorrhage, ectopic pregnancy, and infection. This case report provides an overview of clinical features and emergent management of OHSS.

References

Dec 29, 2000·Deutsche medizinische Wochenschrift·J Brechmann, C Unterberg
Mar 3, 2001·Human Reproduction·B BelaenJ Thys
Apr 20, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J HeinigW Klockenbusch
Jan 16, 2002·Archives of Gynecology and Obstetrics·Y NakamuraS Ogita
Apr 2, 2002·Human Reproduction·Akihisa FujimotoYuji Taketani
May 15, 2002·International Journal of Cardiology·Ramazan AkdemirYunus Emiroglu
May 24, 2003·Archives of Gynecology and Obstetrics·Bulent BerkerHakan Satiroglu
Aug 5, 2004·Obstetrics and Gynecology·Sharon MaslovitzRonni Gamzu
Sep 15, 2004·Fertility and Sterility·UNKNOWN Practice Committee of the American Society for Reproductive Medicine
Sep 25, 2004·Critical Care Clinics·Jaime F AvecillasAlejandro C Arroliga
Jul 22, 2005·Endocrine·Anne DelbaereGilbert Vassart
Aug 9, 2005·Human Reproduction·Anjali K RaoAmin A Milki

❮ Previous
Next ❯

Citations

Aug 10, 2012·Annals of Intensive Care·Rosaleen Chun, Andrew W Kirkpatrick
May 16, 2009·Endocrinology·Pratibhasri A VardhanaJoyce W Lustbader
Apr 13, 2011·Taiwanese Journal of Obstetrics & Gynecology·Chin-Der ChenYu-Shih Yang
Jun 1, 2012·Best Practice & Research. Clinical Obstetrics & Gynaecology·Chin-Der ChenYu-Shih Yang
Dec 2, 2015·Clinical Medicine : Journal of the Royal College of Physicians of London·Kyle F PetrieAudrey L A Wong
Nov 1, 2012·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Theodoros KalampokasEmmanouil Kalampokas
Nov 20, 2019·Clinical and Experimental Reproductive Medicine·Seung-Hun SongDong Suk Kim

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arterial-Venous in Development & Disease

Arterial-venous development may play a crucial role in cardiovascular diseases. Here is the latest research.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.