Ceyhan Seyit Temel, Goktolga Umit, Karasahin Emre, Alanbay Ibrahim, Duru Namik Kemal
Department of Obstetrics and Gynaecology, Division of Reproductive Endocrinology and Infertility, Gulhane Military Medical Academy and Medical School, Ankara, Turkey.
Gynecol Endocrinol. 2008 Sep;24(9):505-7. doi: 10.1080/09513590802303017.
Severe ovarian hyperstimulation syndrome (OHSS) is a serious and potentially fatal complication of ovarian stimulation. A 29-year-old nulligravid patient with anovulatory infertility was treated with in vitro fertilization. Six days after embryo transfer, the patient presented with complaint of abdominal bloating, nausea, vomiting and shortness of breath. Severe late-onset OHSS, with massive ascites and pleural effusion, was diagnosed. Posterior colpotomy was performed under general anesthesia, a Foley catheter was inserted into the posterior cul-de-sac, and bilateral chest drainage tubes were left for continuous drainage. In total, 13.2 liters of ascites and 6.1 liters of pleural fluid were drained in 8 days. Continuous drainage of ascites and pleural effusion improved the patient's comfort without need for repeated transvaginal and thoracic aspirations.
重度卵巢过度刺激综合征（OHSS）是卵巢刺激的一种严重且可能致命的并发症。一名29岁的原发性不孕无排卵患者接受了体外受精治疗。胚胎移植后六天，患者出现腹胀、恶心、呕吐及呼吸急促的症状。诊断为重度迟发性OHSS，伴有大量腹水和胸腔积液。在全身麻醉下进行了后穹窿切开术，将一根导尿管插入后穹窿，并留置双侧胸腔引流管进行持续引流。8天内共引出13.2升腹水和6.1升胸水。腹水和胸水的持续引流提高了患者的舒适度，无需反复经阴道和胸腔穿刺抽液。
