Ovarian Hyperstimulation Syndrome Post-dilation and Evacuation of a Hydatidiform Mole: A Case Report

Abstract

The present study reports a complete hydatidiform mole presenting with ovarian hyperstimulation syndrome after dilatation and evacuation. A 30-year-old female came to the emergency room with abdominal pain and genital bleeding at 14 weeks of pregnancy. Ultrasonography revealed vesicular cystic swelling of chorionic villi with high human chorionic gonadotrophin (625,000 IU/L). Dilatation and evacuation was performed. Symptoms of ovarian hyperstimulation syndrome appeared on the 8th day after dilatation and evacuation, and bilateral enlarged multicystic ovaries were found, measuring 13.07x8.45x9.77 cm on the left and 9.02x8.45x5.5 cm on the right. The cysts gradually reduced in size and finally disappeared at Day 42, and human chorionic gonadotrophin reached below cut-off value at Day 72.