Bellapu Sowdhamani, Guttman Joshua
Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York.
J Emerg Med. 2017 Apr;52(4):e101-e104. doi: 10.1016/j.jemermed.2016.11.026. Epub 2016 Dec 18.
Ovarian hyperstimulation syndrome (OHSS) occurs when ovaries are overstimulated and enlarged due to fertility treatments resulting in a shift of serum from the intravascular space to the third space, mainly the abdominal cavity. It is the most serious complication of ovarian hyperstimulation for assisted reproduction.
We present the case of a 40-year-old woman who presented with abdominal bloating and nausea 2 weeks after undergoing in vitro fertilization (IVF); she was diagnosed by an outside radiology ultrasound as having a ruptured ovarian cyst. A point-of-care emergency ultrasound performed by the emergency physician made the diagnosis of ovarian hyperstimulation syndrome. This led to more expedient management and obstetrical consultation. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Abdominal bloating and nausea are common presenting complaints in pregnant women. OHSS is a rare but potentially fatal complication of IVF. Recognition and early diagnosis by the emergency physician can lead to appropriate intervention and consultation.
卵巢过度刺激综合征（OHSS）是指在生育治疗过程中，卵巢受到过度刺激而肿大，导致血清从血管内空间转移至第三间隙，主要是腹腔。它是辅助生殖中卵巢过度刺激最严重的并发症。
我们报告一例40岁女性病例，该患者在体外受精（IVF）后2周出现腹胀和恶心；外部放射科超声诊断为卵巢囊肿破裂。急诊医生进行的即时床旁急诊超声诊断为卵巢过度刺激综合征。这使得治疗更加迅速，并进行了产科会诊。急诊医生为何应了解此情况？：腹胀和恶心是孕妇常见的就诊主诉。OHSS是IVF罕见但可能致命的并发症。急诊医生的识别和早期诊断可导致适当的干预和会诊。
