Ovarian hyperstimulation syndrome

Case contributed by Abdulmajid Bawazeer
Diagnosis certain

Presentation

Lower abdominal pain, vomiting and nausea after ovarian induction for fertilization.

Patient Data

Age: 40 years
Gender: Female

Both ovaries are symmetrically enlarged and occupied by multiple peripherally enhanced cysts ( spoke-wheel appearance ) associated with ascites.

The enlarged ovaries cause mass effect on both distal ureters ( uretero-hydrophones ) and compression sigmoid colon.

Case Discussion

Usually ovarian hyperstimulation syndrome is considered in cases post ovulation induction, one of chief differential diagnosis would be theca lutein cyst
The clinical manifestations include abdominal distention, lower abdominal pain, nausea and vomiting.

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