Ovarian hyperstimulation syndrome (OHSS): case report

Abstract

There has been a rapid increase in the number of couples receiving treatment for infertility with Assisted Reproductive Technology (ART) in recent years. While there is robust evidence supporting the efficacy and safety of ART, it is important to be aware of the risks, the most serious of which is OHSS. A case of OHSS, a rare complication of COS, which is potentially fatal, is presented. Patient with secondary infertility (Para 0 + 1), who had had IVF - COS followed by oocyte retrieval and subsequent embryo transfer. She presented at Accident and Emergency Unit, Nairobi Hospital, with dyspnea, chest pain, abdominal pain and distension. A diagnosis of OHSS withpulmonary thromboembolism was made. She was admitted to Intensive care unit(ICU). She was managed with oxygen by mask, intravenous fluids, anticoagulant and albumen in Intensive Care Unit with fully recovery.The case study presents her clinical manifestations, investigation, progress, management, outcome and preventive measures.