Scimago Lab
powered by Scopus
eISSN: 1941-5923


Get your full text copy in PDF

Severe ovarian hyperstimulation syndrome after intrauterine insemination: A case report

Marco Gentile, Serena Simeone, Giuseppina Scaravill, Simona Capuano, Carlo Balbi

Am J Case Rep 2009; 10:59-61

ID: 869652

Background: The ovarian hyperstimulation syndrome is a rare iatrogenic complication of ovarian stimulationoccurring during the luteal phase or during early pregnancy.
Case Report: A 32-year-old woman came to our department because of abdominal pain, after an ovulation induction by recombinant FSH and successful intrauterine insemination (IUI). The final diagnosis was critical ovarian hyperstimulation, arisen as a late type. Significant complications occurred, like multiple organ failure, hydrothorax, abdominal infection, ovarian necrosis, and haemolytic-uremic syndrome. The conservative surgery was impossible because of a wide ovarian infected necrosis .
Conclusions: Our case report presents the occurrence of an OHSS after IUI with a rFSH low dose stimulation, escorted by a series of severe complications. Our patient did not show PCOS. Abdominal paracentesis resulted in a precious diagnostic mean to detect the wide infection going on in the abdominal cavity. The infection occured spontaneously. Surgery was needed.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree