Author/Authors :
Tokmak, Aytekin Dr. Zekai Tahir Burak Women’s Health Education and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Güzel, Ali İrfan Recep Tayyip Erdoğan University - Faculty of Medicine - Department of Medical Biology and Genetics, Turkey , Kangal, Kadir Aşıkpaşa Hospital - Department of Obstetrics and Gynecology, Turkey , Yalınkaya, Ahmet Dr. Zekai Tahir Burak Women’s Health Education and Research Hospital - Department of Obstetrics and Gynecology, Turkey
Abstract :
Spontaneous OHSS in a term pregnancy is extremely rare. The aim of this study is to present a case of spontaneous ovarian hyperstimulation syndrome (OHSS) in a term pregnancy. A 29-year-old primigravida woman conceived spontaneously and was observed up until 35 weeks of gestation. During this time the patient had a normal pregnancy with normal ovaries. She applied to the current clinic during the 37th week of gestation with complaints of rapid weight gain, abdominal disturbance, and pain. Ultrasound examination showed large bilateral ovaries with multiple follicles and mild ascites. At 39 weeks of gestation, the ovaries were the same as detected previously, and a caesarean section was performed due to fetal macrosomia. A healthy female foetus weighing 4060 gr was delivered. The enlarged bilateral ovaries containing multiple follicles were drilled with electrocautery. The ovaries returned to a near normal state for two weeks after the birth. There are no reported cases of spontaneous OHSS in late pregnancy in the literature. Ovarian drilling may be useful during caesarean section.
