Olchowy Anna, Olchowy Cyprian, Łasecki Mateusz, Mazur Rafał, Sierpowska Małgorzata, Waligóra Marek, Więckiewicz Mieszko
Department of Experimental Dentistry, Wrocław Medical University, Wrocław, Poland.
Department of Oral Surgery, Wroclaw Medical University, Wroclaw, Poland.
J Emerg Med. 2019 Feb;56(2):217-221. doi: 10.1016/j.jemermed.2018.11.004. Epub 2018 Dec 14.
Ovarian hyperstimulation syndrome (OHSS) is a common complication of an in-vitro fertilization (IVF) procedure, which is usually clinically insignificant. However, without monitoring, it can progress into a life-threatening condition. With the increasing popularity of IVF technology, patients with OHSS may begin visiting emergency departments (EDs) more frequently.
We report the case of a patient admitted to the ED presenting with severe abdominal pain, cough, and nausea. An ultrasound examination was inconclusive. Computer tomography revealed enlarged ovaries and fluid in the pleural cavities, around the liver and spleen, between the bowel loops, and in the pelvis. This prompted physicians to review the patient's fertility issues. Consequently, the diagnosis of OHSS was made. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: When the physician knows that the patient is undergoing IVF, the diagnosis of OHSS can be straightforward; without this information, it can be difficult. Having in mind the growing demand for infertility treatment, we present this case to increase awareness of possible clinical findings and complications of OHSS as a rare consequence of IVF. OHSS diagnosed via ultrasound can reduce the emotional, financial, and health burden of infertile couples and help them to fulfill their procreation plans without unnecessary delay.
卵巢过度刺激综合征（OHSS）是体外受精（IVF）过程中的常见并发症，通常在临床上无显著意义。然而，若不进行监测，它可能发展为危及生命的状况。随着IVF技术日益普及，OHSS患者可能会更频繁地前往急诊科（EDs）就诊。
我们报告一例因严重腹痛、咳嗽和恶心而入住急诊科的患者。超声检查结果不明确。计算机断层扫描显示卵巢增大，胸腔、肝脏和脾脏周围、肠袢之间以及盆腔内有积液。这促使医生回顾患者的生育问题。因此，诊断为OHSS。
急诊科医生为何应了解这一情况？：当医生知道患者正在接受IVF时，OHSS的诊断可能很简单；没有这些信息时，诊断可能会很困难。考虑到对不孕症治疗的需求不断增加，我们呈现此病例以提高对OHSS作为IVF罕见后果可能出现的临床发现和并发症的认识。通过超声诊断OHSS可以减轻不孕夫妇的情感、经济和健康负担，并帮助他们毫无不必要延迟地实现生育计划。
