Osakwe E, Meighan V, Cunningham K, Morrissey B
Emergency Department, Sligo University Hospital, The Mall, Sligo, Ireland.
Ir Med J. 2020 Jan 16;113(1):11.
Presentation A 32year old woman, presented with a 5-day history of non-productive cough, chest pain, shortness of breath andabdominal bloating. She had undergone Embryo Transfer Treatment 6 days previously. Diagnosis A point of care ultrasound (POCUS) exam was performed as part of her initial investigations which showed right pleuraleffusion, ascites and cystic ovaries. Treatment She received Oxygen, IV Fluids and Antibiotics and was referred to the Obstetricians. Discussion Point of care ultrasound (POCUS) aided the prompt diagnosis of ovarian hyperstimulation syndrome (OHSS) in thispatient, making it possible for her to receive appropriate resuscitation and referral and an excellent outcome despitethis being a case of severe ovarian hyperstimulation syndrome.
病例介绍 一名32岁女性,有5天干咳、胸痛、呼吸急促和腹胀病史。她在6天前接受了胚胎移植治疗。诊断 作为初步检查的一部分,进行了床旁超声(POCUS)检查,结果显示右侧胸腔积液、腹水和卵巢囊肿。治疗 她接受了吸氧、静脉输液和抗生素治疗,并被转诊至产科医生处。讨论 床旁超声(POCUS)有助于对该患者迅速诊断卵巢过度刺激综合征(OHSS),使她能够得到适当的复苏和转诊,尽管这是一例严重的卵巢过度刺激综合征,但仍取得了良好的结果。