An unusual cause of tachycardia, hypotension, and intraabdominal free fluid: ovarian hyperstimulation syndrome.
We report a case of ovarian hyperstimulation syndrome (OHSS) in a 37-year-old female who had recently underwent assisted reproductive technology involving oocyte retrieval. Her emergency department (ED) presentation, clinical course, and a discussion of ovarian hyperstimulation syndrome are also presented. Ovarian hyperstimulation syndrome is a critical diagnosis in emergency medicine, and emergency physicians must consider it in the differential for any female nontrauma patient presenting with hypotension, tachycardia, and abdominal pain.
Miller
Michael A
MA
Department of Emergency Medicine, Tripler Army Medical Center, Honolulu, HI 95859, USA. michael.adam.miller@us.army.mil
Wirtz
Eric
E
Pease
John
J
D000328:Adult; D003937:Diagnosis, Differential; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology; D054315:Oocyte Retrieval / Q000009:adverse effects; D016471:Ovarian Hyperstimulation Syndrome / Q000175:diagnosis* / Q000628:therapy; D013610:Tachycardia / Q000209:etiology