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Severe ovarian hyperstimulation syndrome in a twin pregnancy after intracytoplasmic sperm injection
Author(s) -
Cupisti Susanne,
Mueller Andreas,
Strauss Richard,
Dittrich Ralf,
Beckmann Matthias W.,
Binder Helge
Publication year - 2007
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2007.00559.x
Subject(s) - medicine , ovarian hyperstimulation syndrome , intracytoplasmic sperm injection , pregnancy , thrombophilia , obstetrics , thrombosis , deep vein , gynecology , twin pregnancy , gestation , surgery , in vitro fertilisation , genetics , biology
A 35‐year‐old woman developed bilateral jugular thrombosis in the seventh gestational week in a twin pregnancy after severe ovarian hyperstimulation syndrome (OHSS) and intracytoplasmic sperm injection (ICSI). Due to progressive thrombosis and further complications despite anticoagulation therapy, the pregnancy was terminated in the ninth gestational week. Thromboembolic events are a serious complication associated with OHSS after assisted reproduction techniques. In these cases, a pregnancy can usually be protected by administering anticoagulation therapy, but our case shows that there may be exceptions to this. Screening for thrombophilia should be considered in patients who are at risk for OHSS and deep vein thrombosis.