A rare case of severe ovarian hyperstimulation syndrome with ascites and pleural effusion leading to ICU admission.
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| Format: | Recurso digital |
| Langue: | anglais |
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2024
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| _version_ | 1866901537977008128 |
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| author | International Journal of Medical Science and Innovative Research (IJMSIR) |
| author_facet | International Journal of Medical Science and Innovative Research (IJMSIR) |
| contents | <p><strong><span lang="EN-US">Abstract</span></strong></p> <p><span lang="EN-US">Severe ovarian hyperstimualtion syndrome is a rare but possible complication of ovulation induction. In this case report we present a case of 29 year old nulligravida, who required intensive care management due to massive ascites and mild pleural effusion and oliguria. With positive history of controlled ovarian stimulation for in vitro fertilisation, the patient was diagnosed with severe ovarian hyper stimulation syndrome. Other than symptomatic medical management, abdominal paracentesis was done for draining massive ascitic fluid collection resulting in gradual improvement. It may be well noted that there is production of not one but many mediators which are responsible for giving rise to OHSS that act in conjunction. These include prostaglandins cytokines interleukins, ovarian renin angiotensin system, vascular endothelial growth factor. Early diagnosis and timely multidisciplinary management is a key to save lives.</span></p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_15364737 |
| institution | Zenodo |
| language | eng |
| publishDate | 2024 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | A rare case of severe ovarian hyperstimulation syndrome with ascites and pleural effusion leading to ICU admission. International Journal of Medical Science and Innovative Research (IJMSIR) Ascites, Intensive Care Unit, Ovarian Hyperstimulation Syndrome, Paracentesis, Pleural Effusion. <p><strong><span lang="EN-US">Abstract</span></strong></p> <p><span lang="EN-US">Severe ovarian hyperstimualtion syndrome is a rare but possible complication of ovulation induction. In this case report we present a case of 29 year old nulligravida, who required intensive care management due to massive ascites and mild pleural effusion and oliguria. With positive history of controlled ovarian stimulation for in vitro fertilisation, the patient was diagnosed with severe ovarian hyper stimulation syndrome. Other than symptomatic medical management, abdominal paracentesis was done for draining massive ascitic fluid collection resulting in gradual improvement. It may be well noted that there is production of not one but many mediators which are responsible for giving rise to OHSS that act in conjunction. These include prostaglandins cytokines interleukins, ovarian renin angiotensin system, vascular endothelial growth factor. Early diagnosis and timely multidisciplinary management is a key to save lives.</span></p> |
| title | A rare case of severe ovarian hyperstimulation syndrome with ascites and pleural effusion leading to ICU admission. |
| topic | Ascites, Intensive Care Unit, Ovarian Hyperstimulation Syndrome, Paracentesis, Pleural Effusion. |
| url | https://doi.org/10.5281/zenodo.15364737 |