title: A tale of two syndromes: ovarian hyperstimulation and abdominal compartment.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, The University of Western Ontario, 339 Windermere Road, London, Ontario N65 5A5, Canada.
authors.forename: T
authors.initials: T
authors.lastname: Cil
authors.forename: I S
authors.initials: IS
authors.lastname: Tummon
authors.forename: A A
authors.initials: AA
authors.lastname: House
authors.forename: B
authors.initials: B
authors.lastname: Taylor
authors.forename: G
authors.initials: G
authors.lastname: Hooker
authors.forename: J
authors.initials: J
authors.lastname: Franklin
authors.forename: R
authors.initials: R
authors.lastname: Rankin
authors.forename: M
authors.initials: M
authors.lastname: Carey
mesh_terms: 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