Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy

Year 2015, , 623 - 626, 01.10.2015

Aytekin Tokmak , Ali Güzel Kadir Kangal Ahmet Yalınkaya

https://doi.org/10.17826/cutf.83811

Abstract

Spontaneous OHSS in a term pregnancy is extremely rare. The aim of this study is to present a case of spontaneous ovarian hyperstimulation syndrome (OHSS) in a term pregnancy. A 29-year-old primigravida woman conceived spontaneously and was observed up until 35 weeks of gestation. During this time the patient had a normal pregnancy with normal ovaries. She applied to the current clinic during the 37th week of gestation with complaints of rapid weight gain, abdominal disturbance, and pain. Ultrasound examination showed large bilateral ovaries with multiple follicles and mild ascites. At 39 weeks of gestation, the ovaries were the same as detected previously, and a caesarean section was performed due to fetal macrosomia. A healthy female foetus weighing 4060 gr was delivered. The enlarged bilateral ovaries containing multiple follicles were drilled with electrocautery. The ovaries returned to a near normal state for two weeks after the birth. There are no reported cases of spontaneous OHSS in late pregnancy in the literature. Ovarian drilling may be useful during caesarean section.

Keywords

Spontaneous OHSS, term pregnancy, ovarian drilling

Term Gebelikte Spontan Over Hiperstimülasyon Sendromu

Abstract

Gebelik döneminde spontan OHSS son derece nadirdir. Bu çalışmanın amacı, term gebelikte spontan over hiperstimülasyon sendromunu sunmaktır. 29 yaşındaki primigravid kadının 35 haftaya kadar olan gebeliği gözlendi. Bu zaman süresince hastanın normal overlere sahip normal bir gebeliği vardı. Hasta kliniğe 37 haftalık iken hızlı kilo alma, abdominal sıkıntısı ve ağrı ile başvurdu. Ultrason inceleme çoklu foliküllü ve hafif assit içeren büyük multifoliküler overleri gösterdi. Gebeliğin 39. haftasında, overler daha önce tespit edilen ile aynıydı ve fötal makrozomi nedeniyle sezaryen uygulandı. 4060 gr ağırlığında sağlıklı bir kız bebeğin doğumu gerçekleştirildi. Multifoliküler içeren genişlemiş bilateral overler elektrokoter ile delindi. Doğumdan 2 hafta sonra overler normal haline geri döndü. Literatürde geç gebelikte meydana gelen spontan OHSS ile ilgili hiç vaka bildirilmedi. Sezaryen sırasında over delimi ileride yararlı olabilir.

Keywords

Spontan OHSS, gebelik dönemi, over delimi

References

• Cluroe AD, Synek BJ. A fatal case of ovarian hyperstimulation syndrome with cerebral infarction. Pathology. 1995;27:344-6.
• Foong LC, Bhagavath B, Kumar J and Ng SC. Ovarian hyperstimulation syndrome is associated with reversible impairment of vascular reactivity. Fertil Steril 2002;78:1159-63. Schenker hyperstimulation syndrome. Eur J Obstet Gynecol Reprod Biol 1999;85:13-20. aspects of ovarian
• Zalel Y, Katz Z, Caspi B, et al. Spontaneous ovarian hyperstimulation syndrome concomitant with spontaneous pregnancy in a woman with polycystic ovary 1992;167:122–4. J Obstet Gynecol.
• Rotmensch S, Scommegna A. Spontaneous ovarian hyperstimulation hypothyroidism. 1989;160:1220–2. associated Obstet J Gynecol
• Di Carlo C, Savoia F, Gargano V, Sparice S, Bifulco G, Nappi C. Successful pregnancy complicated by spontaneous, hyperstimulation syndrome: report of two cases. Gynecological Endocrinology. 2013;29:897-900.
• Wiser A, Levron J, Kreizer D, et al. Outcome of pregnancies hyperstimulation syndrome (OHSS): a follow-up beyond the second trimester. Human Reproduction. 2004;20:910-4. by severe ovarian Ayhan hyperstimulation syndrome spontaneous pregnancy. Human Reproduction. 1996;11:1600-1. Aksu AT. associated with