Chahal R and Pakrashi T
Background: Ovarian hyperstimulation syndrome remains a significant cause of morbidity in ovulation induction. It may be further complicated by thromboembolism and pleural effusions.
Case Report: A 30-year-old nulligravida underwent ovarian stimulation with OCP/Antagonist protocol for in vitro fertilization. Estradiol levels peaked at 2411 pg/mL. Post-stimulation course was complicated by recurrent pleural effusions and an occlusive right internal jugular vein thrombosis. The patient underwent repeated thoracenteses with a drainage of a total of 8350 cc of pleural fluid. The patient received therapeutic anticoagulation and delivered a viable infant at term. Imaging at six weeks postpartum revealed a chronic, non-occlusive deep venous thrombosis involving both the right internal jugular and right subclavian veins.
Conclusion: OHSS results in dynamic changes that contribute to thrombosis and massive fluid shifts. Further research is needed to optimize prevention strategies.
இந்தக் கட்டுரையைப் பகிரவும்
English 
Spanish 
Chinese 
Russian 
German 
French 
Japanese 
Portuguese 
Hindi 