1/6. Hyperreactio luteinalis associated with chronic renal failure.Hyperreactio luteinalis is a rare benign condition characterized by bilateral ovarian enlargement associated with pregnancies where high concentrations of maternal serum human chorionic gonadotrophins are present. This condition may mimic the ovarian hyperstimulation syndrome. We report a case of a 34 year old woman with a history of chronic renal failure on haemodialysis who presented at 10 weeks' gestational age with hyperreactio luteinalis which was treated conservatively. Because of chronic renal failure, the presentation and course of the disease was different from that which has been previously reported.- - - - - - - - - - ranking = 1keywords = ovarian hyperstimulation syndrome, hyperstimulation syndrome, ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |
2/6. Isolated pleural effusion in severe ovarian hyperstimulation: A case report.Assisted reproductive technology programs use controlled ovarian hyperstimulation to maximize pregnancy rates. Severe ovarian hyperstimulation syndrome is a well-known risk. pleural effusion often accompanies severe ovarian hyperstimulation syndrome. We describe 2 cases of isolated hydrothorax without concomitant ascites and review the literature of this rare finding.- - - - - - - - - - ranking = 3.4985062984756keywords = ovarian hyperstimulation syndrome, hyperstimulation syndrome, ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |
3/6. ovarian hyperstimulation syndrome (OHS): a case of severe OHS.A 26 year old patient, who underwent an ovulation stimulation therapy (clomiphene /UH-FSH), monitored only by ultrasound presented a severe ovarian hyperstimulation syndrome (OHS). beta-HCG values confirmed conception, that outcame in an abortion. During an ovulation stimulation therapy, patient's management with the ultrasound examination, is often inadequate and it's moreover necessary to determine the 17 beta E2 levels.- - - - - - - - - - ranking = 1.262313502589keywords = hyperstimulation syndrome, hyperstimulation (Clic here for more details about this article) |
4/6. Spontaneous resolution of ectopic pregnancy in a surrogate after oocyte donation and frozen embryo transfer.A case of tubal pregnancy in a young and healthy woman participating in a programme of in-vitro fertilization (IVF) gestational surrogacy is reported. The gestational surrogate was the 30 year old fertile sister of a 25 year old patient affected by stage 1 ovarian cancer. After mandatory oncological consultation, the donor was recommended to prospectively undergo controlled ovarian hyperstimulation cycles for embryo banking before being treated by total hysterectomy. Available embryos were cryopreserved and after adequate endometrial preparation using artificial cycles of hormone replacement therapy, three thawed frozen embryos were transferred to the surrogate. At 17 days following embryo transfer the surrogate was noted to have a negative beta-human chorionic gonadotrophin (HCG) serum concentration. All medication was suspended and a few days later normal menstrual bleeding occurred. After 2 weeks, the beta-HCG concentrations, performed as part of routine follow-up evaluation, were showing signs of trophoblast activity (236 mIU/ml). Taking into account the stable condition of the patient, a decision was made to undertake expectant management. At 43 days after embryo transfer, a complete tubal abortion was apparently seen in the posterior cul-de-sac by ultrasound associated with a subtle and short lasting pelvic pain. We stress that this ectopic gestation was able to maintain prolonged viability in conditions of absent corpus luteum and exogenous steroid supplementation.- - - - - - - - - - ranking = 0.29970125969512keywords = ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |
5/6. A rare case of hepatic injury associated with ovarian hyperstimulation syndrome.A 26-year-old married woman was admitted to our hospital because of massive ascites and hepatic injury. The patient had been treated with human menopausal gonadotropin and clomiphene citrate to prevent recurrence of spontaneous abortions. About 1 month later, she developed upper abdominal pain and noticed dark urine. On admission, she had elevated concentrations of serum transaminases with an asparate aminotransferase of 127 IU/L and alanine aminotransferase of 194 IU/L. An abdominal ultrasound showed massive ascites. Her serum concentration of estradiol was high at 12,100 pg/mL, which was much greater than the value of early stage of pregnancy (2,279-7,353 pg/mL). She was thus diagnosed as having ovarian hyperstimulation syndrome. Following a period of bed rest, her liver function normalized and the ascites disappeared. Based on the above findings, the patient was considered to have suffered from ovarian hyperstimulation syndrome, complicated by hepatic injury.- - - - - - - - - - ranking = 6keywords = ovarian hyperstimulation syndrome, hyperstimulation syndrome, ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |
6/6. High renin and prorenin in plasma and pleural exudate of a patient with the ovarian hyperstimulation syndrome.We present the case of a 35-year-old woman with a severe ovarian hyperstimulation syndrome (OHSS) as a complication of ovulation induction for primary infertility. The clinical picture showed massively enlarged ovaries, pleural effusion and haemoconcentration. She needed a thoracentesis for evacuation of the large pleural effusion. High levels of renin and prorenin were observed in plasma and pleural exudate.- - - - - - - - - - ranking = 5keywords = ovarian hyperstimulation syndrome, hyperstimulation syndrome, ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |