Ovarian hyperstimulation syndrome in a spontaneous pregnancy with a complete hydatidiform mole
Received 31 January 2009; received in revised form 27 February 2009; accepted 3 March 2009. published online 14 April 2009.
Objective
To present a case of ovarian hyperstimulation syndrome occurring after evacuation of a spontaneously conceived hydatidiform molar pregnancy.
Design
Case report.
Setting
University-affiliated teaching hospital.
Patient(s)
A 19-year-old nulliparous woman who underwent vacuum curettage for a complete hydatidiform molar pregnancy was admitted to our hospital with ovarian hyperstimulation syndrome and large bilateral pleural effusions.
Intervention(s)
Intravenous fluid, deep vein thrombosis prophylaxis, placement of bilateral chest tubes.
Main Outcome Measure(s)
Management of ovarian hyperstimulation syndrome.
Result(s)
Ultrasonography and computed tomography showed large multicystic ovaries, marked ascites, and large pleural effusions that required placement of bilateral chest tubes. She had recovered by hospital day 14.
Conclusion(s)
Ovarian hyperstimulation syndrome may develop in women who have undergone treatment for a hydatidiform mole, and serious complications may develop rapidly.
Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
Correspondence to Melissa Strafford, M.D., Department of Obstetrics and Gynecology, Boston University School of Medicine, 85 E. Concord St., Boston, MA 02118 (FAX: 617-414-7300).
M.S. has nothing to disclose. N.M.-R. has nothing to disclose. P.S. has nothing to disclose.
ABSTRACT