A tale of two syndromes: ovarian hyperstimulation and abdominal compartment.
Abdominal compartment syndrome complicated severe ovarian hyperstimulation in a 35 year old woman with multiple bowel resections due to Crohn's disease. Pain from ovarian enlargement necessitated hospital admission. Despite intravenous fluid administration and heparin prophylaxis, ilio-femoral deep vein thrombosis developed. Treatment by intravenous heparin was complicated by repeated intra-ovarian bleeding, anaemia and acute renal failure requiring haemodialysis. Intra-abdominal pressures were elevated. After placement of an inferior vena caval filter and discontinuation of heparin, there was slow spontaneous recovery without surgery.
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Department of Obstetrics and Gynaecology, The University of Western Ontario, 339 Windermere Road, London, Ontario N65 5A5, Canada.
Tummon
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House
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Taylor
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B
Hooker
G
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Franklin
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J
Rankin
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R
Carey
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M
D000005:Abdomen; D000328:Adult; D003161:Compartment Syndromes / Q000150:complications* / Q000628:therapy; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D006470:Hemorrhage / Q000150:complications / Q000628:therapy; D006801:Humans; D010049:Ovarian Diseases / Q000150:complications / Q000628:therapy; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications* / Q000628:therapy; D010062:Ovulation Induction / Q000009:adverse effects; D051437:Renal Insufficiency / Q000150:complications; D020246:Venous Thrombosis / Q000150:complications / Q000188:drug therapy