Spontaneous ovarian hyperstimulation syndrome complicating a normal singleton pregnancy: A case report
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Tarih
2004
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info:eu-repo/semantics/openAccess
Özet
Ovaryan hiperstimülasyon sendromu (OHSS), ovulasyon indüksiyon protokolleri ve assiste reprodütif prosedürlerin en sık gözlenen ve bazen de hayatı tehdit edebilen bir komplikasyonudur. Çoğu kez multipl ovulasyon elde etmek amacıyla ekzojen gonadotropinler ve daha nadir olarak da klomifen sitrat gibi ajanların kullanılmasına bağlı, iyatrojenik olarak gelişen bir sendromdur. Bununla beraber bu sendromun spontan formu oldukça nadirdir. Bu makalede altta yatan herhangi bir hastalığı bulunmayan, 26 yaşındaki gebede spontan olarak gelişen ovaryan hiperstimülasyon sendromu sunulmuştur. Abdominal distansiyon, dispne ve laboratuvar bulgularındaki kötüleşme nedeniyle gebelik terapötik abortusla sonlandırılmıştır.
Ovarian hyperstimulation syndrome (OHSS) is the most common and sometimes life threatening complication of ovulation induction protocols and assisted reproductive procedures. It usually occurs iatrogenically by the use of drugs such as exogenous gonadotropins or less frequently colmiphene citrate to induce multiple ovulation. However spontaneous form of this syndrome is extremely rare in the literature. In this report we describe a case of spontaneous OHSS that occurred in a 26 year old pregnant woman with no underlying disease. When abdominal distension and dyspnea progressed, leading to deleterious laboratory results, the pregnancy was terminated by therapeutic abortion.
Ovarian hyperstimulation syndrome (OHSS) is the most common and sometimes life threatening complication of ovulation induction protocols and assisted reproductive procedures. It usually occurs iatrogenically by the use of drugs such as exogenous gonadotropins or less frequently colmiphene citrate to induce multiple ovulation. However spontaneous form of this syndrome is extremely rare in the literature. In this report we describe a case of spontaneous OHSS that occurred in a 26 year old pregnant woman with no underlying disease. When abdominal distension and dyspnea progressed, leading to deleterious laboratory results, the pregnancy was terminated by therapeutic abortion.
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Kadın Hastalıkları ve Doğum
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ARTEMİS
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Cilt
5
Sayı
2
