Severe Ovarian Hyperstimulation Syndrome in the Setting of In Vitro Fertilization Treatment

Hannia Diaz Ayllon; Oscar L Hernandez; Talwinder Nagi; Carlos M Cespedes

doi:10.7759/cureus.39939

Severe Ovarian Hyperstimulation Syndrome in the Setting of In Vitro Fertilization Treatment

Cureus. 2023 Jun 4;15(6):e39939. doi: 10.7759/cureus.39939. eCollection 2023 Jun.

Authors

Hannia Diaz Ayllon¹, Oscar L Hernandez¹, Talwinder Nagi¹, Carlos M Cespedes²

Affiliations

¹ Internal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
² Medicine, Bethesda Hospital East, Boynton Beach, USA.

Abstract

Ovarian hyperstimulation syndrome (OHSS) is one of the complications of pharmacological ovarian stimulation used in fertility treatments. This syndrome is characterized by increased vascular permeability secondary to stimulation, resulting in a fluid shift from the intravascular space to the third-space compartments. Patients developing OHSS can experience severe complications, including ascites, pleural effusions, and shock. Here, we present a case of OHSS in the setting of recent transvaginal oocyte retrieval, leading to severe ascites, pleural effusion, and hypotension requiring urgent intervention.

Keywords: large pleural effusion; massive ascites; oocyte retrieval; ovarian follicle; ovarian hyperstimulation.

Publication types

Case Reports