Open AccessOvarian hyperstimulation syndrome in a spontaneous pregnancy: A potential for missed-diagnosis
Author(s) -
James A Osaikhuwuomwan,
Abieyuwa P. Osemwenkha
Publication year - 2016
Publication title -
nigerian medical journal/nigerian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2229-774X
pISSN - 0300-1652
DOI - 10.4103/0300-1652.180563
Subject(s) - ovarian hyperstimulation syndrome , medicine , pregnancy , vomiting , abdominal pain , ascites , gynecology , abdominal distension , obstetrics , ultrasonography , surgery , in vitro fertilisation , genetics , biology
Ovarian hyperstimulation syndrome (OHSS) with the natural ovulatory cycle is extremely rare. We report a case of severe OHSS associated with a spontaneous normal singleton pregnancy in a 23-year-old woman presenting with severe abdominal pain, vomiting, and dyspnea. Ultrasonography revealed 10 weeks viable intra-uterine single fetus with bilateral multilocular cystic ovarian masses and ascites. She had supportive therapy inclusive of oral bromocriptine with complete resolution of OHSS and an eventual uncomplicated normal vaginal delivery at 39 weeks of pregnancy.