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Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis
Spontaneous ovarian hyperstimulation syndrome (s-OHSS) is a rare finding that occurs in early pregnancy. There is a rapidly increasing ovarian size secreting vasoactive substances that lead to fluid shift into third spaces. This occurs in the absence of exogenous hormonal therapy. We present two cas...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808280/ https://www.ncbi.nlm.nih.gov/pubmed/33487851 http://dx.doi.org/10.4103/nmj.NMJ_183_20 |
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author | Nwafor, Nkem Nnenna Nyoyoko, Nsikak Paul |
author_facet | Nwafor, Nkem Nnenna Nyoyoko, Nsikak Paul |
author_sort | Nwafor, Nkem Nnenna |
collection | PubMed |
description | Spontaneous ovarian hyperstimulation syndrome (s-OHSS) is a rare finding that occurs in early pregnancy. There is a rapidly increasing ovarian size secreting vasoactive substances that lead to fluid shift into third spaces. This occurs in the absence of exogenous hormonal therapy. We present two cases of s-OHSS. A 35-year-old gravida 4 para 3 presented with complaints of progressive abdominal pain, distension, nausea, vomiting, and difficulty in breathing at 10 weeks gestation. On imaging, a singleton intrauterine gestation, enlarged ovaries containing multiple cysts, and moderate ascites were seen. Second, a 17-year-old primigravida presented with abdominal distension and pain and bleeding per vaginam following 4 months amenorrhea. A bulky uterus containing a large hyperechoic structure with multiple cystic spaces in keeping complete molar gestation and enlarged ovaries containing multiple cysts were seen on ultrasound imaging. The singleton gestation was managed successfully to term with conservative therapy tailored to clinical symptoms. |
format | Online Article Text |
id | pubmed-7808280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-78082802021-01-22 Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis Nwafor, Nkem Nnenna Nyoyoko, Nsikak Paul Niger Med J Case Report Spontaneous ovarian hyperstimulation syndrome (s-OHSS) is a rare finding that occurs in early pregnancy. There is a rapidly increasing ovarian size secreting vasoactive substances that lead to fluid shift into third spaces. This occurs in the absence of exogenous hormonal therapy. We present two cases of s-OHSS. A 35-year-old gravida 4 para 3 presented with complaints of progressive abdominal pain, distension, nausea, vomiting, and difficulty in breathing at 10 weeks gestation. On imaging, a singleton intrauterine gestation, enlarged ovaries containing multiple cysts, and moderate ascites were seen. Second, a 17-year-old primigravida presented with abdominal distension and pain and bleeding per vaginam following 4 months amenorrhea. A bulky uterus containing a large hyperechoic structure with multiple cystic spaces in keeping complete molar gestation and enlarged ovaries containing multiple cysts were seen on ultrasound imaging. The singleton gestation was managed successfully to term with conservative therapy tailored to clinical symptoms. Wolters Kluwer - Medknow 2020 2020-10-13 /pmc/articles/PMC7808280/ /pubmed/33487851 http://dx.doi.org/10.4103/nmj.NMJ_183_20 Text en Copyright: © 2020 Nigerian Medical Journal http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Nwafor, Nkem Nnenna Nyoyoko, Nsikak Paul Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis |
title | Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis |
title_full | Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis |
title_fullStr | Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis |
title_full_unstemmed | Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis |
title_short | Spontaneous Ovarian Hyperstimulation Syndrome: A Report of Two Cases from Different Pathogenesis |
title_sort | spontaneous ovarian hyperstimulation syndrome: a report of two cases from different pathogenesis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808280/ https://www.ncbi.nlm.nih.gov/pubmed/33487851 http://dx.doi.org/10.4103/nmj.NMJ_183_20 |
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