Published in:
01-10-2013 | Case Report
Abdominal Compartment Syndrome Due to OHSS
Authors:
Firoozeh Veisi, Maryam Zangeneh, Shohreh Malekkhosravi, Negin Rezavand
Published in:
The Journal of Obstetrics and Gynecology of India
|
Issue 5/2013
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Excerpt
Infertility is a relatively common disorder. An estimated population of about 40.5 million seek therapy [
1]. Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication of ovulation stimulation in ART [
2]. The prevalence of mild OHSS is 20–23 % of IVF cycles, while a 3–6 % moderate and 0.1–2 % severe form were reported as well [
3‐
5]. Despite several factors contributing to increased vascular permeability, the pathophysiology of this syndrome remains unknown [
6,
7]. Adnexal torsion, rupture of ovarian cysts, hemoperitoneum, thrombotic events, and anesthesia complications may be the consequences of OHSS [
8‐
12]. Abdominal compartment syndrome (ACS) is quite rare considering the ART protocol, but can be fatal [
13‐
15]. Several therapies have been proposed for severe OHSS [
16‐
20]. However, ACS needs laparotomy. …