Ovarian hyperstimulation syndrome in a spontaneous pregnancy with a complete hydatidiform mole.
OBJECTIVE
To present a case of ovarian hyperstimulation syndrome occurring after evacuation of a spontaneously conceived hydatidiform molar pregnancy.


METHODS
Case report.


METHODS
University-affiliated teaching hospital.


METHODS
A 19-year-old nulliparous woman who underwent vacuum curettage for a complete hydatidiform molar pregnancy was admitted to our hospital with ovarian hyperstimulation syndrome and large bilateral pleural effusions.


METHODS
Intravenous fluid, deep vein thrombosis prophylaxis, placement of bilateral chest tubes.


METHODS
Management of ovarian hyperstimulation syndrome.


RESULTS
Ultrasonography and computed tomography showed large multicystic ovaries, marked ascites, and large pleural effusions that required placement of bilateral chest tubes. She had recovered by hospital day 14.


CONCLUSIONS
Ovarian hyperstimulation syndrome may develop in women who have undergone treatment for a hydatidiform mole, and serious complications may develop rapidly.
Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston Medical Center, 85 E. Concord Street, Boston, MA 02118, USA. melissa.strafford@bmc.org
Melissa
M
Strafford
Nilda
N
Moreno-Ruiz
Phillip
P
Stubblefield
D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications* / Q000601:surgery; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications* / Q000235:genetics* / Q000601:surgery; D010996:Pleural Effusion / Q000000981:diagnostic imaging; D011247:Pregnancy; D011256:Pregnancy Outcome; D014057:Tomography, X-Ray Computed; D055815:Young Adult