Severe Ovarian Hyperstimulation Syndrome in the Setting of In Vitro Fertilization Treatment

Ovarian hyperstimulation syndrome (OHSS) is one of the complications of pharmacological ovarian stimulation used in fertility treatments. This syndrome is characterized by increased vascular permeability secondary to stimulation, resulting in a fluid shift from the intravascular space to the third-s...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 6; p. e39939
Main Authors Diaz Ayllon, Hannia, Hernandez, Oscar L, Nagi, Talwinder, Cespedes, Carlos M
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 04.06.2023
Cureus
Subjects
Abdomen
Ascites
Blood pressure
Case reports
Cytokines
Dyspnea
Emergency medical care
Fertility
In vitro fertilization
Infertility
Internal Medicine
Laboratories
Mortality
Nausea
Obstetrics/Gynecology
Ovaries
Patients
Permeability
Pleural effusion
Pregnancy
Radiology
Reproductive technologies
Urine
Vomiting
large pleural effusion
ovarian follicle
massive ascites
oocyte retrieval
ovarian hyperstimulation
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Summary:Ovarian hyperstimulation syndrome (OHSS) is one of the complications of pharmacological ovarian stimulation used in fertility treatments. This syndrome is characterized by increased vascular permeability secondary to stimulation, resulting in a fluid shift from the intravascular space to the third-space compartments. Patients developing OHSS can experience severe complications, including ascites, pleural effusions, and shock. Here, we present a case of OHSS in the setting of recent transvaginal oocyte retrieval, leading to severe ascites, pleural effusion, and hypotension requiring urgent intervention.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.39939