Ovarian Hyperstimulation Syndrome as a Growing Diagnostic Problem in Emergency Department Settings: A Case Report |
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Authors: | Anna Olchowy Cyprian Olchowy Mateusz ?asecki Rafa? Mazur Ma?gorzata Sierpowska Marek Waligóra Mieszko Wi?ckiewicz |
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Institution: | 1. Department of Experimental Dentistry, Wroc?aw Medical University, Wroc?aw, Poland;2. Department of Oral Surgery, Wroclaw Medical University, Wroclaw, Poland;3. Department of Radiology, Wroc?aw Medical University, Wroc?aw, Poland;4. Department of Radiology, Hospital of Legnica, Legnica, Poland;6. Department of Anatomy, Collegium Medicum, University of Opole, Opole, Poland |
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Abstract: | BackgroundOvarian hyperstimulation syndrome (OHSS) is a common complication of an in-vitro fertilization (IVF) procedure, which is usually clinically insignificant. However, without monitoring, it can progress into a life-threatening condition. With the increasing popularity of IVF technology, patients with OHSS may begin visiting emergency departments (EDs) more frequently.Case ReportWe report the case of a patient admitted to the ED presenting with severe abdominal pain, cough, and nausea. An ultrasound examination was inconclusive. Computer tomography revealed enlarged ovaries and fluid in the pleural cavities, around the liver and spleen, between the bowel loops, and in the pelvis. This prompted physicians to review the patient's fertility issues. Consequently, the diagnosis of OHSS was made.Why Should an Emergency Physician Be Aware of This?When the physician knows that the patient is undergoing IVF, the diagnosis of OHSS can be straightforward; without this information, it can be difficult. Having in mind the growing demand for infertility treatment, we present this case to increase awareness of possible clinical findings and complications of OHSS as a rare consequence of IVF. OHSS diagnosed via ultrasound can reduce the emotional, financial, and health burden of infertile couples and help them to fulfill their procreation plans without unnecessary delay. |
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Keywords: | ovarian hyperstimulation syndrome IVF |
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