1/4. 10% hydroxyethyl starch for plasma expansion in the treatment of severe ovarian hyperstimulation syndrome. A case report.BACKGROUND: Severe ovarian hyperstimulation syndrome is a complication of hormonal therapy for in vitro fertilization and carries the risk of renal failure. The injection of 6% hydroxyethyl starch has been used as a preventive measure. CASE: A 33-year-old woman was admitted with severe ovarian hyperstimulation syndrome after receiving gonadotropins as part of our in vitro fertilization protocol. Despite treatment with saline, albumin and abdominal taps, oliguria developed on the third day. The patient was transferred to the general intensive care unit and treated with 10% hydroxyethyl starch, furosemide and a further abdominal tap. Recovery was rapid. CONCLUSION: Ten percent hydroxyethyl starch is an efficient plasma expander. It is safe, biohazard free and cost-effective. It seems to effectively control severe ovarian hyperstimulation syndrome and to overcome acute prerenal failure. Larger prospective studies are necessary to further evaluate its role in the treatment of severe ovarian hyperstimulation syndrome.- - - - - - - - - - ranking = 1keywords = ovarian hyperstimulation syndrome, hyperstimulation syndrome, ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |
2/4. Acute prerenal failure and liver dysfunction in a patient with severe ovarian hyperstimulation syndrome.We report a case of severe ovarian hyperstimulation syndrome which developed in a patient after ovarian stimulation for in-vitro fertilization (IVF). This was complicated by prerenal oliguria due to indomethacin therapy and liver dysfunction. The pathogenetic mechanisms involved are discussed.- - - - - - - - - - ranking = 0.625keywords = ovarian hyperstimulation syndrome, hyperstimulation syndrome, ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |
3/4. Acute oligo-anuria during ovarian hyperstimulation syndrome.Severe ovarian hyperstimulation developed in a young woman during ovulation induction with human menopausal and chorionic gonadotropins. This was complicated by acute functional renal insufficiency with vascular overfilling and incipient pulmonary edema, possibly caused by indomethacine and fluid treatment. The pathogenetic mechanisms involved are discussed.- - - - - - - - - - ranking = 0.52860303524182keywords = ovarian hyperstimulation syndrome, hyperstimulation syndrome, ovarian hyperstimulation, hyperstimulation (Clic here for more details about this article) |
4/4. Management of hyperstimulation syndrome.A case of hyperstimulation syndrome secondary to Pergonal therapy is presented. Successful management was based principally on severe sodium and fluid restriction without the use of volume expanders. The rationale for this therapeutic approach is presented and discussed. Although this iatrogenic disease should be virtually eliminated with the monitoring of daily urinary estrogens, severe hyperstimulation may still occur as a result of laboratory error.- - - - - - - - - - ranking = 0.28656102574185keywords = hyperstimulation syndrome, hyperstimulation (Clic here for more details about this article) |