Borna Sedigheh, Nasery Azita
Department of Perinatology, Vali-asr Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Fertil Steril. 2007 Sep;88(3):705.e1-3. doi: 10.1016/j.fertnstert.2006.12.003. Epub 2007 Apr 11.
This report describes an unusual case in which a naturally conceived pregnancy is associated with spontaneous ovarian hyperstimulation and hypothyroidism.
Case report.
University medical center.
PATIENT(S): A 30-year-old pregnant woman with abdominal pain and distension caused by ovarian hyperstimulation.
INTERVENTION(S): Medical management and laparotomy.
MAIN OUTCOME MEASURE(S): Incomplete regression after 3 months.
RESULT(S): Thyroid-stimulating hormone level was elevated. Hormonal studies confirmed hypothyroidism with spontaneous ovarian hyperstimulation. She was given levothyroxine 200 mug/d. Results of the hormonal tests for thyroid function were normal 3 months after treatment, but in this case the ovarian cysts did not regress completely until delivery. Laparotomy and cesarean section were done for both diagnosis and treatment. Ten weeks after delivery ovarian cysts regressed completely.
CONCLUSION(S): Thyroid hormone replacement seems to be the best therapeutic approach in some patients, but, in some, complete resolution of the ovarian cysts does not occur after 3 months.
本报告描述了一例自然受孕妊娠与自发性卵巢过度刺激及甲状腺功能减退相关的罕见病例。
病例报告。
大学医学中心。
一名30岁孕妇，因卵巢过度刺激导致腹痛和腹胀。
药物治疗和剖腹手术。
3个月后未完全消退。
促甲状腺激素水平升高。激素研究证实自发性卵巢过度刺激伴甲状腺功能减退。给予左甲状腺素200μg/d。治疗3个月后甲状腺功能激素检测结果正常，但在该病例中，卵巢囊肿直到分娩才完全消退。为进行诊断和治疗实施了剖腹手术和剖宫产。产后10周卵巢囊肿完全消退。
甲状腺激素替代似乎是某些患者的最佳治疗方法，但在某些患者中，3个月后卵巢囊肿并未完全消退。
