
OVARIAN HYPERSTIMULATION SYNDROMEAS A COMPLICATION OF MOLAR PREGNANCY: CASE REPORT
Author(s) -
E. Lemrabott,
B. Mohamed Mahmoud,
Karam Saoud,
Nisrine Mamouni,
Sanaa Errarhay,
C. Bouchikhi,
A. Banani
Publication year - 2020
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/12080
Subject(s) - ovarian hyperstimulation syndrome , medicine , pregnancy , gestation , complication , gynecology , obstetrics , abdominal pain , molar pregnancy , placenta , lower abdominal pain , fetus , surgery , biology , in vitro fertilisation , genetics
The authors present an atypical case of complete hydatidiform mole.Woman, 27years old, who went to the emergency room for abdominal pain associated with 10 week pregnancy. Echography revealed the presence of hyper stimulated ovaries leading to diagnosisof spontaneous Ovarian Hyperstimulation Syndrome (OHSS). Blood sample revealed high levels of hCG (3 U/L), which associated with the ultrasound finding of placenta with vesicular areas, led to the suspicion of CHM,Dilatation and evacuation (D&E) were performed at 11 weeks of gestation. The signs and symptoms of OHSS were the severest on day 4 after D&E, when hCGhad already decreased We must be aware that OHSS can occur duringmolar pregnancy, and can be exacerbated after D&E.