Diness Marie, Nilas Lisbeth
Gynækologisk/Obstetrisk Afdeling, Hvidovre Hospital, Kettegård Allé 30, Hvidovre.
Ugeskr Laeger. 2012 May 21;174(21):1465-7.
Ovarian hyperstimulation syndrome (OHSS) is usually an iatrogenic condition caused by ovulation induction. Spontaneous OHSS is rare. We present a case of OHSS after dilatation and curettage of a triploid partial mole. In the case symptoms of OHSS developed after the abortion when serum human chorionic gonadotropin values were declining. Noticeable was also an affected androgen metabolism and a high level of cancer antigen-125. It is important to be aware of the OHSS diagnosis in order to avoid unnecessary surgery due to suspected ovarian malignancy. The treatment of OHSS is supportive with intravenous fluid and thrombosis prophylaxis.
卵巢过度刺激综合征（OHSS）通常是一种由促排卵引起的医源性病症。自发性OHSS较为罕见。我们报告一例三倍体部分性葡萄胎刮宫术后发生OHSS的病例。该病例中，OHSS症状在流产后血清人绒毛膜促性腺激素值下降时出现。值得注意的是，雄激素代谢也受到影响，且癌抗原125水平升高。认识到OHSS的诊断很重要，以避免因怀疑卵巢恶性肿瘤而进行不必要的手术。OHSS的治疗以静脉补液和预防血栓形成等支持治疗为主。
