Abstract
Spontaneous ovarian hyperstimulation syndrome is an extremely rare complication that develops during or after a spontaneous pregnancy and requires timely diagnosis and appropriate intensive care. This article presents a rare clinical case of spontaneous ovarian hyperstimulation syndrome with the development of its severe clinical picture in the postpartum period. The article focuses on the fact of the difficult diagnosis of this syndrome in the postpartum period and the difficulties of differential diagnosis with systemic inflammatory response syndrome associated with current infection process. The correct diagnosis changed the treatment landscape, when the administration of the right therapeutic doses of low molecular weight heparin provided positive changes in the disease course with a benign outcome.
Subject
Obstetrics and Gynecology
Reference17 articles.
1. Extracorporal Fertilization. Practical Guide
2. Rossiyskoe obshchestvo akusherov-ginekologov, OOO “Rossiyskaya assotsiatsiya reproduktsii cheloveka (RARCh)”; Assotsiatsiya akusherskikh anesteziologov-reanimatologov. Sindrom giperstimulyatsii yaichnikov. Klinicheskie rekomendatsii. 2021 (In Russ.). [cited 2021 Dec 12]. Available from: https://www.arfpoint.ru/wp-content/uploads/2021/09/kr665.pdf
3. The Management of Ovarian Hyperstimulation Syndrome. Royal College of Obstetricians and Gynaecologists. Green-top guideline No. 5. February 2016. [cited 2021 Dec 12]. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg_5_ohss.pdf
4. Ovarian hyperstemulation syndrome as a private case of iatrogenic capillary leak syndrome
5. Oligosypthomatic ovarian hyperstimulation syndrome in a spontaneous uneventful pregnancy. A case report