Moutos D M, Miller M M, Mahadevan M M
University of Arkansas for Medical Sciences, Department of Obstetrics and Gynecology, Little Rock 72205, USA.
Fertil Steril. 1997 Jul;68(1):174-6. doi: 10.1016/s0015-0282(97)81498-7.
To report a case of bilateral thrombosis of the internal jugular veins in a patient after controlled ovarian hyperstimulation and IVF.
Case report.
University-based IVF program.
INTERVENTION(S): Ovulation induction with gonadotropins, IVF-ET, albumin administration, and therapeutic heparinization.
MAIN OUTCOME MEASURE(S): Doppler ultrasound of neck veins.
RESULT(S): Severe ovarian hyperstimulation syndrome and bilateral thrombosis of the internal jugular veins occurred despite prophylactic administration of albumin. This was treated successfully with therapeutic heparinization.
CONCLUSION(S): Internal jugular venous thrombosis, a rare complication of ovulation induction with gonadotropins, should be considered in patients with neck pain and swelling.
