alexa Severe Spontaneous Ovarian Hyperstimulation Syndrome With Cervical insufficiency: A Case Report
ISSN: 2375-4508

Journal of Fertilization: In Vitro - IVF-Worldwide, Reproductive Medicine, Genetics & Stem Cell Biology
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Case Report

Severe Spontaneous Ovarian Hyperstimulation Syndrome With Cervical insufficiency: A Case Report

Emine Demirel1*, Ugur Turhan1, Emre Ekmekci1, Aslı Subasioglu2 and Sefa Kelekci1

1Department of Obstetrics and Gynecology, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey

2Division of Medical Genetics, Atatürk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey

Corresponding Author:
Emine Demirel
Department of Obstetrics and Gynecology
Faculty of Medicine, Izmir Katip Celebi University
170 Street, 35150 Karabaglar/Izmir, Turkey
Tel: +90 (232) 243 43 43
Fax: +90 (232) 243 15 30
E-mail: [email protected]

Received May 01, 2016; Accepted May 12, 2016;; Published May 19, 2016

Citation: Demirel E, Turhan U, Ekmekci E, Subasioglu A, Kelekci S (2016) Severe Spontaneous Ovarian Hyperstimulation Syndrome With Cervical Insufficiency: A Case Report. J Fertil In Vitro IVF Worldw Reprod Med Genet Stem Cell Biol 4:181. doi:10.4172/2375-4508.1000181

Copyright: © 2016 Demirel E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Objectıve: Spontaneous OHSS (sOHSS) is an extremely rare condition in natural conceived pregnancy, it’s most often seen in cases of multiple or molar gestations, hypothyroidism and polycystic ovary syndrome. Severe form is a rare entity in singleton pregnancy with spontaneous ovulation and may cause laparotomy because of misdiagnosis such as ovarian tumors or severe complications. We report a rare case of spontaneous severe OHSS.

Case report: We report a rare case of spontaneous severe OHSS accompanied by cervical insufficiency at second trimester in singleton pregnancy. The patient was applied at 11th weeks of gestation with abdominal pain, dyspnea, ascites that was diagnosed OHSS. We managed expectantly without complications.

Conclusıon: Although spontaneous OHSS a rare condition, it’s important to consider OHSS in cases of bilateral enlarged cystic ovaries in pregnancy. Early diagnosis and successful management is essential to avoid serious complications, which may develop rapidly and may lead significant morbidity and mortality.

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