LATE ONSET OHSS AND PREGNANCY OUTCOME: A CASE REPORT

Abstract

Ovulation induction has been an important mode of treatment of infertility.Ovarian stimulation may result in a supraphysiologic response leading to an iatrogenic complication known as the ovarian hyperstimulation syndrome(OHSS) . This syndrome is a potentially lethal condition,the pathophysiologic hallmark of which is the accumulation of massive extravascular exudate combined with profound intravascular volume depletion and hemoconcentration.we report a case of severe OHSS with very large ovaries in a 38yr old case of G2A1 with 4weeks 5days GA ,ICSI conception with TCTA triplets presented to the emergency department with abdominal pain,ascites and respiratory distress . The patient was managed symptomatically with no complications. Although ovarian hyperstimulation is a rare entity ,it is important that the physician recognizes this condition.prompt diagnosis and successful management is likely to avoid serious and rapid development of complications.