Differential diagnosis of a severe late onset ovarian hyperstimulation syndrome associated with prolonged ascites production - A case report

E. Ujvari, F. Krizsa, A. Bernard, S. Varbiro, F. Paulin

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Abstract

Capsule: A case of severe late onset ovarian hyperstimulation syndrome (OHSS) with prolonged ascites production. Difficulties of differential diagnosis and management. Objective: This report describes a case of extremely prolonged, severe ovarian hyperstimulation syndrome. Results: 17 litres of ascites have been removed from the abdominal cavity by repeated paracenteses until the 25th week of pregnancy, which progressed after the complete resolution of symptoms to the 34th week, when cesarean section was done. Conclusion: Severe ovarian hyperstimulation syndrome can occasionally follow an unusually prolonged course. Chronic formation of abundant ascites, the presence of ovarian enlargement and elevated levels of certain tumour markers might raise the probability of ovarian cancer. Adequate differential diagnosis and management resulted in delivery of a healthy newborn.

Original languageEnglish
Pages (from-to)259-261
Number of pages3
JournalJournal fur Reproduktionsmedizin und Endokrinologie
Volume2
Issue number4
Publication statusPublished - Dec 1 2005

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Keywords

  • Ascites
  • Ovarian hyperstimulation syndrome
  • Tumour marker

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Reproductive Medicine
  • Obstetrics and Gynaecology

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