title: Ovary hyperstimulation syndrome accompanying molar pregnancy: case report and review of the literature.
abstract: OBJECTIVE
  To describe a naturally conceived woman with ovary hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition.
  
  
  METHODS
  We report a 31-year-old 2 parous naturally conceived woman with OHSS accompanying partial molar pregnancy. Dilatation and evacuation (D&E) were performed at 10 weeks of gestation. The signs and symptoms of OHSS were the severest on day 8 after D&E, when hCG had already decreased. This case is reported in detail. We also review the literature.
  
  
  RESULTS
  A literature search yielded seven cases of this condition. Any type of molar pregnancy, i.e., complete, partial, or invasive, can accompany OHSS. The initial manifestation of OHSS occurred at a median of the 12th week of gestation (range 7-16), which may be later compared with OHSS caused by ovulation induction. In all cases, OHSS aggravated after D&E.
  
  
  CONCLUSIONS
  We must be aware that OHSS can occur during molar pregnancy, and can be exacerbated after D&E.
authors: Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors: Hirotada
authors: H
authors: Suzuki
authors: Shigeki
authors: S
authors: Matsubara
authors: Shin-Ichiro
authors: S
authors: Uchida
authors: Akihide
authors: A
authors: Ohkuchi
mesh_terms: D000328:Adult; D006063:Chorionic Gonadotropin / Q000032:analysis; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications* / Q000000981:diagnostic imaging; D010053:Ovary / Q000000981:diagnostic imaging; D011247:Pregnancy; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D006063:Chorionic Gonadotropin