1. Severe ovarian hyperstimulation syndrome requiring recurrent large-volume paracenteses until 21 weeks’ gestation: a case report
- Author
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Chelsea A. Henshaw, M.D., Gregory W. Kirschen, M.D., Ph.D., Lucy Chen, M.D., Arthur J. Vaught, M.D., Katie Cameron, M.D., and Mindy Christianson, M.D.
- Subjects
Ovarian hyperstimulation syndrome ,FET ,frozen embryo transfer ,IVF ,in vitro fertilization ,Diseases of the genitourinary system. Urology ,RC870-923 ,Gynecology and obstetrics ,RG1-991 - Abstract
Objective: To report a case of severe ovarian hyperstimulation syndrome (OHSS) persisting into the late second trimester of a singleton pregnancy. Design: Case report. Setting: Academic tertiary care center. Patient(s): A 29-year-old woman with severe OHSS after fresh embryo transfer after controlled ovarian hyperstimulation requiring intervention until 21 weeks’ gestation in a singleton pregnancy. Intervention(s): Thorough evaluation of an unusual case of severe OHSS and medical/procedural management of its sequelae in the setting of ongoing pregnancy. Main Outcome Measures(s): The clinical development of severe OHSS during pregnancy and its effect on pregnancy outcomes. Result(s): Severe OHSS persisted until 21 weeks’ gestation with reaccumulating ascitic fluid, which impacted pregnancy outcomes. Conclusion(s): Clinicians should be aware of the risk of severe OHSS and its possible effect on pregnancy outcomes beyond the first trimester.
- Published
- 2022
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