title: A case of severe ovarian hyperstimulation syndrome.
abstract: Ovulation induction has been an important mode of treatment of infertility. Ovarian stimulation may result in a supraphysiologic response leading to an iatrogenic complication known as the ovarian hyperstimulation syndrome (OHSS). This syndrome is potentially a lethal condition, the pathophysiologic hallmark of which is the accumulation of massive extravascular exudate combined with profound intravascular volume depletion and hemoconcentration. We report a case of severe OHSS with very large ovaries in a 35 year old case of embryo transfer. The patient presented to the emergency department with abdominal pain, massive ascites, respiratory distress and amenorrhea. The patient was managed symptomatically with no complications. Although ovarian hyperstimulation is a rare entity, it is important that the physician recognizes this condition. Prompt diagnosis and successful management is likely to avoid serious and rapid development of complications.
authors: Department of Biochemistry, The Mission Hospital, Sector 2C, Imon Kalyan Sarani, Bidhannagar, Durgapur, 713212 West Bengal India.
authors: Moushumi
authors: M
authors: Lodh
authors: Department of Obstetrics and Gynaecology, The Mission Hospital, Durgapur, West Bengal India.
authors: Jheelam
authors: J
authors: Mukhopadhyay
authors: Department of Radiology, The Mission Hospital, Durgapur, West Bengal India.
authors: Vikas
authors: V
authors: Sharma
keywords: Anti cardiolipin antibodies; Assisted reproduction; Gonadotropin; Ovarian hyperstimulation syndrome; Ovarian stimulation; Ovulation induction