A Bizarre Case of Periovarian Hematoma in a Patient Undergoing Controlled Ovarian Stimulation Managed Conservatively.

Garima Sachdeva, Devi Ravikumar, Viqat Ara
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Abstract

Background: The occurrence of ovarian hematoma during controlled ovarian stimulation (COS) is very rare. Until now, there is no such case reported in the literature. In this study, an attempt was made to discuss the possible mechanisms for the development of hematoma in such patients, the clinical presentation, monitoring, and management of these cases.

Case presentation: A rare case of periovarian hematoma was reported in a patient with a history of endometriosis undergoing ovarian stimulation for in vitro fertilization. On the seventh day of stimulation, the patient complained of severe pain in the abdomen. Her vitals and blood investigations were within normal limits. On abdominal examination, mild tenderness was noted in the left iliac fossa. On vaginal examination, fullness and tenderness were noted in the left fornix. On ultrasound, probe tenderness was present and a left ovarian hematoma measuring 2.0×1.81×1.55 cm was observed. She was managed conservatively. The hematoma exhibited a gradual reduction following the pick-up procedure and eventually resolved completely within a month.

Conclusion: Underlying endometriosis could be one of the possible causes of this periovarian hematoma. A conservative approach with close monitoring forms the first-line management in hemodynamically stable patients.

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一例接受控制性卵巢刺激治疗的患者卵巢周围血肿的离奇病例,采用保守治疗。
背景:控制性卵巢刺激(COS)期间发生卵巢血肿的情况非常罕见。迄今为止,文献中还没有此类病例的报道。本研究试图探讨此类患者血肿发生的可能机制、临床表现、监测和处理:报告了一例罕见的卵巢周围血肿病例,患者有子宫内膜异位症病史,正在接受卵巢刺激进行体外受精。在促排卵的第七天,患者主诉腹部剧烈疼痛。她的生命体征和血液检查均在正常范围内。腹部检查发现,左侧髂窝有轻微压痛。阴道检查时发现左侧穹窿饱满并有触痛。超声波检查时,探头触痛,观察到左侧卵巢血肿,大小为 2.0×1.81×1.55 厘米。她接受了保守治疗。取卵手术后,血肿逐渐缩小,最终在一个月内完全消退:结论:子宫内膜异位症可能是导致该卵巢周围血肿的原因之一。对于血流动力学稳定的患者,保守治疗和密切监测是一线治疗方法。
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来源期刊
Journal of Reproduction and Infertility
Journal of Reproduction and Infertility Medicine-Reproductive Medicine
CiteScore
2.70
自引率
0.00%
发文量
44
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