Department of Obstetrics and Gynecology, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
J Med Case Rep. 2021 Jul 7;15(1):338. doi: 10.1186/s13256-021-02936-w.
Ovarian hyperstimulation syndrome is usually an iatrogenic and potentially life-threatening disease. It develops following ovulation induction and use of in vitro fertilization techniques. A 32-year-old primigravida Ethiopian woman presented at 15 weeks gestation with a history of progressive bilateral leg swelling and abdominal pain of 2 weeks duration. She had triplet pregnancy and conceived through in vitro fertilization. She was managed in intensive care unit.
Patients with multiple pregnancy following in vitro fertilization conception can have ovarian hyperstimulation syndrome as late as 15 weeks gestation. Hence, frequent follow-up should be continued to detect early signs of OHSS to avoid further complications and need of intensive care unit care.
卵巢过度刺激综合征通常是一种医源性的、潜在危及生命的疾病。它是在排卵诱导和体外受精技术应用后发展起来的。一位 32 岁的初产妇埃塞俄比亚妇女在 15 周妊娠时出现双侧腿部进行性肿胀和腹痛病史，持续 2 周。她怀的是三胞胎，通过体外受精受孕。她在重症监护病房接受治疗。
体外受精受孕后的多胎妊娠患者可在妊娠 15 周时出现卵巢过度刺激综合征。因此，应继续进行频繁的随访，以发现 OHSS 的早期迹象，避免进一步的并发症和需要重症监护病房的护理。
