Spontaneous ovarian hyperstimulation syndrome in the postpartum period
- Authors: Rudenko K.A.1, Zazerskaya I.E.1, Li O.A.1,2, Bezrukikh V.A.1, Parfyonov I.V.1, Yakubov A.V.1, Vyshedkevich E.D.1, Mashchenko I.A.1
-
Affiliations:
- V.A. Almazov National Medical Research Centre
- St. Petersburg State University
- Issue: Vol 71, No 2 (2022)
- Pages: 123-131
- Section: Theory and Practice
- URL: https://journals.rcsi.science/jowd/article/view/84425
- DOI: https://doi.org/10.17816/JOWD84425
- ID: 84425
Cite item
Abstract
Spontaneous ovarian hyperstimulation syndrome is an extremely rare complication that develops during or after a spontaneous pregnancy and requires timely diagnosis and appropriate intensive care. This article presents a rare clinical case of spontaneous ovarian hyperstimulation syndrome with the development of its severe clinical picture in the postpartum period. The article focuses on the fact of the difficult diagnosis of this syndrome in the postpartum period and the difficulties of differential diagnosis with systemic inflammatory response syndrome associated with current infection process. The correct diagnosis changed the treatment landscape, when the administration of the right therapeutic doses of low molecular weight heparin provided positive changes in the disease course with a benign outcome.
Full Text
##article.viewOnOriginalSite##About the authors
Ksenia A. Rudenko
V.A. Almazov National Medical Research Centre
Author for correspondence.
Email: xeniaruru@yandex.ru
ORCID iD: 0000-0001-8498-7938
SPIN-code: 3534-4785
ResearcherId: ABC-1438-2021
Russian Federation, Saint Petersburg
Irina E. Zazerskaya
V.A. Almazov National Medical Research Centre
Email: zazera@mail.ru
ORCID iD: 0000-0003-4431-3917
SPIN-code: 5683-6741
Scopus Author ID: 55981393900
ResearcherId: AAI-1309-2020
MD, Dr. Sci. (Med.)
Russian Federation, Saint PetersburgOlga A. Li
V.A. Almazov National Medical Research Centre; St. Petersburg State University
Email: olgalee74@list.ru
ORCID iD: 0000-0002-1237-6107
Scopus Author ID: 57200971015
MD, Cand. Sci. (Med.)
Russian Federation, Saint Petersburg; Saint PetersburgVadim A. Bezrukikh
V.A. Almazov National Medical Research Centre
Email: bezrukikh_v@list.ru
ORCID iD: 0000-0002-2710-2686
SPIN-code: 6326-2635
Scopus Author ID: 57222100532
Russian Federation, Saint Petersburg
Ilya V. Parfyonov
V.A. Almazov National Medical Research Centre
Email: il-parfen@yandex.ru
Russian Federation, Saint Petersburg
Andrey V. Yakubov
V.A. Almazov National Medical Research Centre
Email: a.v.yakubov@yandex.ru
ORCID iD: 0000-0002-7226-6284
SPIN-code: 4815-6216
Scopus Author ID: 57204014113
Russian Federation, Saint Petersburg
Elena D. Vyshedkevich
V.A. Almazov National Medical Research Centre
Email: lenavish04@gmail.com
ORCID iD: 0000-0001-9698-1795
SPIN-code: 5856-6500
Scopus Author ID: 57222722098
Russian Federation, Saint Petersburg
Irina A. Mashchenko
V.A. Almazov National Medical Research Centre
Email: ivikhtinskaya@mail.ru
ORCID iD: 0000-0002-4949-8829
SPIN-code: 5154-7080
Scopus Author ID: 57217019218
MD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgReferences
- Ekstrakorporal’noe oplodotvorenie: prakticheskoe rukovodstvo dlya vrachei. I.U. Kogan, ed. Moscow: GEOTAR-Media; 2021. (In Russ.). doi: 10.33029/9704-5941-6-IVF-2021-1-368
- Rossiyskoe obshchestvo akusherov-ginekologov, OOO “Rossiyskaya assotsiatsiya reproduktsii cheloveka (RARCh)”; Assotsiatsiya akusherskikh anesteziologov-reanimatologov. Sindrom giperstimulyatsii yaichnikov. Klinicheskie rekomendatsii. 2021 (In Russ.). [cited 2021 Dec 12]. Available from: https://www.arfpoint.ru/wp-content/uploads/2021/09/kr665.pdf
- The Management of Ovarian Hyperstimulation Syndrome. Royal College of Obstetricians and Gynaecologists. Green-top guideline No. 5. February 2016. [cited 2021 Dec 12]. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg_5_ohss.pdf
- Kraevaya EE, Petrosyan YA, Tapil’skaya NI. Ovarian hyperstemulation syndrome as a private case of iatrogenic capillary leak syndrome. Kazan medical journal. 2019;100(2):270–276. (In Russ.). doi: 10.17816/KMJ2019-270
- Morotti E, Battaglia C. Oligosympthomatic ovarian hyperstimulation syndrome in a spontaneous uneventful pregnancy. A case report. Gynecol Endocrinol. 2019;35(8):657–660. doi: 10.1080/09513590.2019.1579791
- Royal College of Obstetricians and Gynaecologists. Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk. Green-top Guideline No. 37a. April 2015. [cited 2021 Dec 12]. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg37a/
- He C, Huang H, Song Y. Spontaneous and severe ovarian hyperstimulation syndrome after delivery: a case report. Gynecol Endocrinol. 2008;24(8):450–451. doi: 10.1080/09513590802246075
- Nakatsuka M, Miyamoto M, Soyama H. et al. A case of spontaneous ovarian hyperstimulation syndrome after vaginal delivery. J Obstet Gynaecol. 2019;39(7):1022–1024. doi: 10.1080/01443615.2019.1601691
- Mittal K, Koticha R, Dey AK, et al. Radiological illustration of spontaneous ovarian hyperstimulation syndrome. Pol J Radiol. 2015;80:217–227. doi: 10.12659/PJR.893536
- Panagiotopoulou N, Byers H, Newman WG, Bhatia K. Spontaneous ovarian hyperstimulation syndrome: case report, pathophysiological classification and diagnostic algorithm. Eur J Obstet Gynecol Reprod Biol. 2013;169(2):143–148. doi: 10.1016/j.ejogrb.2013.03.004
- Strelchenko DA, Perminova SG, Donnikov AE, et al. Spontaneous ovarian hyperstimulation syndrome. Obstetrics and Gynecology. 2019;(1):166–170. (In Russ.). doi: 10.18565/aig.2019.1.166-170
- Topdagi Yilmaz EP, Yapca OE, Topdagi YE, et al. Spontaneous ovarian hyperstimulation syndrome with FSH receptor gene mutation: Two rare case reports. Case Rep Obstet Gynecol. 2018;2018:9294650. doi: 10.1155/2018/9294650.
- Dieterich M, Bolz M, Reimer T, et al. Two different entities of spontaneous ovarian hyperstimulation in a woman with FSH receptor mutation. Reprod Biomed Online. 2010;20(6):751–758. doi: 10.1016/j.rbmo.2010.02.017
- Dey AK, Dubey A, Mittal K, Kale S. Spontaneous ovarian hyperstimulation syndrome – understanding the dilemma. Gynecol Endocrinol. 2015;31(8):587–589. doi: 10.3109/09513590.2015.1037268
- Adamyan LV, Artymuk NV, Belokrinickaya TE, et al. Intensive treatment of ovarian hyperstimulation syndrome. Clinical guidelines (treatment protocol). Alexander Saltanov Intensive Care Herald. 2018;4:8–25. (In Russ.). doi: 10.21320/1818-474X-2018-4-8-25
- Kasum M, Danolić D, Orešković S, et al. Thrombosis following ovarian hyperstimulation syndrome. Gynecol Endocrinol. 2014;30(11):764–768. doi: 10.3109/09513590.2014.927858
- Osaikhuwuomwan JA, Osemwenkha AP. Ovarian hyperstimulation syndrome in a spontaneous pregnancy: A potential for missed-diagnosis. Niger Med J. 2016;57(1):74–76. doi: 10.4103/0300-1652.180563