True or False: Severe OHSS is rare.
False: Prevalence of moderate to severe OHSS has been demonstrated to range from 1-10% in major series.
True or False: Venous and arterial embolism is a frequent finding in severe OHSS and is caused by altered coagulation state.
False: Venous and arterial embolism are common in severe OHSS, but are thought to be caused mainly by haemoconcentration, as the hallmark of the disease is shift of fluid from intra- to extravascular space. Usual prophylaxis is low-molecular-weight heparin (LMWH). Venous thrombosis may be more common in the upper limb and neck, whereas most arterial thrombi have been reported to be intracerebral (stroke).
True or False: Administration of anti bHCG is therapy of choice.
False: Or once you gather evidence you might be right. As of today anti bHCG is used in biochemistry to measure serum or urine levels of beta HCG. Severeness of symptoms usually parallels the serum levels of the causative bHCG, and as such the syndrome is self-limiting. However, severe cases usually need inpatient treatment, therapy is mainly supportive and may be life-saving as fatal outcomes have been reported.
Right thoracocentesis was performed and revealed serous hydrothorax.