Obstructive uropathy as the etiology of renal failure in ovarian hyperstimulation syndrome.
OBJECTIVE
To make people aware that there is potential for obstructive uropathy to complicate ovarian hyperstimulation syndrome (OHSS) and cause renal impairment.


METHODS
Case report.


METHODS
Hospital.


METHODS
A 28-year-old Caucasian female presenting with acute severe OHSS.


METHODS
Bilateral JJ stenting.


METHODS
Resolution of renal impairment.


RESULTS
Successful treatment of renal failure.


CONCLUSIONS
Patients with severe OHSS and renal impairment should be evaluated with renal ultrasound to rule out hydronephrosis and therefore an obstructive uropathy. Patients potentially at risk for such a complication from OHSS may include those with prior abdominal or pelvic surgery.
Merrilees
David Alastair
DA
Wellington Hospital, Capital and Coast DHB, Wellington South, New Zealand. dmerrilees@hotmail.com
Kennedy-Smith
Andrew
A
Robinson
Richard G
RG
D000328:Adult; D003161:Compartment Syndromes / Q000150:complications; D003424:Crohn Disease / Q000150:complications; D003558:Cystoscopy / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging; D007247:Infertility, Female / Q000628:therapy*; D050498:Live Birth; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D010062:Ovulation Induction / Q000009:adverse effects*; D011247:Pregnancy; D051437:Renal Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome; D014463:Ultrasonography; D014517:Ureteral Obstruction / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery