Severe ovarian hyperstimulation syndrome – case study

Czech version

Authors: M. Pokorná
Authors‘ workplace: Gynekologicko-porodnické oddělení Oblastní nemocnice, Kolín primář MUDr. A. Toman, MBA
Published in: Ceska Gynekol 2015; 80(6): 447-450

Overview

Objective:
To draw attention to the issue and the need of interdisciplinary cooperation in treating severe ovarian hyperstimulation syndrome (OHSS).

Design:
Case study.

Setting:
Department of Obstetrics and Gynecology, Hospital Kolín.

Case report:
We report a case of a patient after embryotransfer that is hospitalized with a diagnosis of late severe OHSS. During the treatment when her condition is accompained by voluminous ascites, disseminated intravascular coagulation and elevated liver enzymes, it is necessary to cooperate with doctors of different specialization – anestetist, hematologist, internist.

Conclusion:
Severe OHSS is a rare but serious complication of IVF treatment that due to a high number of IVF cycles is a diagnosis which every gynecologist could be confronted with. Event that numerous methods on how to prevent this condition are known these days, it is necessary not to underestimate it and to treat it thoroughly and in interdisciplinary cooperation.

Keywords:
ovarian hyperstimulation syndrom, ultrasonography, ascites, pleural effusions

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Article was published in

Czech Gynaecology

2015 Issue 6