title: Removal of ascites up to 7.5 liters on one occasion and 45 liters in total may be safe in patients with severe ovarian hyperstimulation syndrome.
abstract: Ovarian hyperstimulation syndrome (OHSS) is a serious and potentially lethal complication of ovulation induction. We report herein a case with OHSS treated by serial vaginal paracentesis. A 31-year-old patient was hospitalized due to severe OHSS after in vitro fertilization (IVF)-embryo transfer. Transvaginal drainage was performed with a standard 17-gauge IVF needle connected to a vacuum pump through a drainage set in nine courses. We removed 45 liters of ascitic fluid in total and 7.5 liters of ascitic fluid in one course, leading to improvement of the patient's condition and laboratory parameters. In conclusion, removal of ascites up to 7.5 liters on one occasion and 45 liters in total by serial vaginal paracentesis may be performed in patients with severe OHSS.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Erciyes University, Kayseri, Turkey. mtozgun@erciyes.edu.tr
authors.forename: Mahmut T
authors.initials: MT
authors.lastname: Ozgun
authors.forename: Cem
authors.initials: C
authors.lastname: Batukan
authors.forename: Gokalp
authors.initials: G
authors.lastname: Oner
authors.forename: Semih
authors.initials: S
authors.lastname: Uludag
authors.forename: Ercan M
authors.initials: EM
authors.lastname: Aygen
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Sahin
mesh_terms: D000328:Adult; D001201:Ascites / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications / Q000628:therapy*; D019152:Paracentesis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D027724:Reproductive Techniques, Assisted / Q000009:adverse effects*