Iatrogenic Ovarian Hyperstimulation Syndrome in Late Luteal Phase – A Rare Case Report

Abstract

Ovarian hyperstimulation syndrome is an iatrogenic medical complication unique to stimulatory infertility treatment.Characteristics of the syndrome include cystic ovarian enlargement, increased capillary permeability resulting in extravascularfluid accumulation, and intravascular volume depletion. It is a self-limiting disease in mild cases but can cause renal failure,hydrothorax, and respiratory distress that can cause mortality in severe cases. In this case, we aimed to report moderateovarian hyperstimulation (grade 3) syndrome, ultimately resulting in ovarian torsion and salphingo oophorectomy. Casepresentation-A 29-year-old female known case of polycystic ovarian syndrome underwent ovulation induction 22 days later. Shepresented to our hospital with severe abdominal pain, abdominal distension, and vomiting. She was admitted and diagnosed withGrade 3 Ovarian hyperstimulation syndrome medical management, given the patient got better symptomatically. 10 days later,she presented in casualty with abdominal pain and was diagnosed with right ovarian torsion and right salphingo oophorectomydone. Conclusion: We should rule out risk factors for ovarian Hyperstimulation syndrome before treating any infertility patient.Patients with ovarian hyperstimulation syndrome must be identified early and referred urgently to a tertiary care hospital.Ovarian hyperstimulation syndrome can result in serious morbidity and mortality if left untreated