Melissa Strafford1, Nilda Moreno-Ruiz, Phillip Stubblefield. 1. Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston Medical Center, 85 E. Concord Street, Boston, MA 02118, USA. melissa.strafford@bmc.org
Abstract
OBJECTIVE: To present a case of ovarian hyperstimulation syndrome occurring after evacuation of a spontaneously conceived hydatidiform molar pregnancy. DESIGN: Case report. SETTING: University-affiliated teaching hospital. PATIENT(S): A 19-year-old nulliparous woman who underwent vacuum curettage for a complete hydatidiform molar pregnancy was admitted to our hospital with ovarian hyperstimulation syndrome and large bilateral pleural effusions. INTERVENTION(S): Intravenous fluid, deep vein thrombosis prophylaxis, placement of bilateral chest tubes. MAIN OUTCOME MEASURE(S): Management of ovarian hyperstimulation syndrome. RESULT(S): Ultrasonography and computed tomography showed large multicystic ovaries, marked ascites, and large pleural effusions that required placement of bilateral chest tubes. She had recovered by hospital day 14. CONCLUSION(S): Ovarian hyperstimulation syndrome may develop in women who have undergone treatment for a hydatidiform mole, and serious complications may develop rapidly.
OBJECTIVE: To present a case of ovarian hyperstimulation syndrome occurring after evacuation of a spontaneously conceived hydatidiform molar pregnancy. DESIGN: Case report. SETTING: University-affiliated teaching hospital. PATIENT(S): A 19-year-old nulliparous woman who underwent vacuum curettage for a complete hydatidiform molar pregnancy was admitted to our hospital with ovarian hyperstimulation syndrome and large bilateral pleural effusions. INTERVENTION(S): Intravenous fluid, deep vein thrombosis prophylaxis, placement of bilateral chest tubes. MAIN OUTCOME MEASURE(S): Management of ovarian hyperstimulation syndrome. RESULT(S): Ultrasonography and computed tomography showed large multicystic ovaries, marked ascites, and large pleural effusions that required placement of bilateral chest tubes. She had recovered by hospital day 14. CONCLUSION(S): Ovarian hyperstimulation syndrome may develop in women who have undergone treatment for a hydatidiform mole, and serious complications may develop rapidly.