Open AccessManagement of ovarian hyperstimulation syndrome with abdominal compartment syndrome, based on intravesical pressure measurement
Author(s) -
Makino Hiroshi,
Furui Tatsuro,
Shiga Tomomi,
Takenaka Motoki,
Terazawa Keiko,
Morishige Kenichiro
Publication year - 2017
Publication title -
reproductive medicine and biology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.005
H-Index - 22
eISSN - 1447-0578
pISSN - 1445-5781
DOI - 10.1002/rmb2.12005
Subject(s) - ovarian hyperstimulation syndrome , abdominal compartment syndrome , medicine , urinary system , compartment (ship) , urology , abdomen , surgery , gynecology , pregnancy , genetics , in vitro fertilisation , biology , oceanography , geology
There are few reports on abdominal compartment syndrome that are caused by ovarian hyperstimulation syndrome (OHSS). Here, a case of a 29 year old woman is reported in which intravesical pressure measurement was useful in the management of severe OHSS that had been complicated by abdominal compartment syndrome. The patient's urinary output and general condition did not improve after the initial treatment. The woman's intra‐abdominal pressure was evaluated indirectly, based on her intravesical pressure, and was found to be significantly elevated. The patient's urinary volume increased after a 14 mm Hg decrease in the intravesical pressure was achieved by the drainage of ascitic fluid. Intravesical pressure measurement was useful in the management of the general condition of this patient with OHSS.