Gil Navarro Núria, Garcia Grau Emma, Pina Pérez Sílvia, Ribot Luna Laia
Department of Obstetrics and Gynecology, Corporació Sanitària Parc Taulí, Parc Tauli, 1, 08208 Sabadell, Spain.
Department of Obstetrics and Gynecology, Corporació Sanitària Parc Taulí, Parc Tauli, 1, 08208 Sabadell, Spain.
Int J Surg Case Rep. 2017;34:66-68. doi: 10.1016/j.ijscr.2017.03.014. Epub 2017 Mar 15.
Ovarian hyperstimulation syndrome (OHSS) is extremely rare in spontaneous pregnancies. Spontaneous OHSS can result from glycoprotein hormones stimulating follicle-stimulating hormone receptors (FSHR).
We report a twin pregnancy in which ovarian torsion and hemoperitoneum complicating OHSS were treated with left adnexectomy and aspiration. The only trigger for spontaneous OHSS in this case was high levels of chorionic gonadotropin hormone.
Multiple pregnancy, gestational trophoblastic disease, primary hypothyroidism, thyroid-stimulating hormone/gonadotropin-secreting adenomas, and mutations of the FSHR gene may trigger spontaneous OHSS.
Spontaneous OHSS should be included in the differential diagnosis of acute abdomen in pregnant women; if spontaneous OHSS is diagnosed, the etiology should be determined in order to focus the treatment and avoid future complications.
卵巢过度刺激综合征（OHSS）在自然妊娠中极为罕见。自发性OHSS可能由糖蛋白激素刺激促卵泡激素受体（FSHR）引起。
我们报告一例双胎妊娠，其中并发OHSS的卵巢扭转和腹腔积血通过左侧附件切除术和穿刺进行治疗。该病例中自发性OHSS的唯一触发因素是绒毛膜促性腺激素水平升高。
多胎妊娠、妊娠滋养细胞疾病、原发性甲状腺功能减退、促甲状腺激素/促性腺激素分泌腺瘤以及FSHR基因突变可能触发自发性OHSS。
自发性OHSS应纳入孕妇急腹症的鉴别诊断中；如果诊断出自发性OHSS，应确定病因以便针对性治疗并避免未来并发症。
