Severe late-onset ovarian hyperstimulation syndrome presenting with liver dysfunction after in vitro fertilization: A case report
| Autor: | Robert A Roman, Larisa Gavrilova-Jordan, Kristina Hawkins, Jennifer J. Chae-Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 medicine.drug_class medicine.medical_treatment Ovarian hyperstimulation syndrome Liver dysfunction Article 03 medical and health sciences 0302 clinical medicine Case report medicine Transaminitis 030212 general & internal medicine Early pregnancy Pregnancy 030219 obstetrics & reproductive medicine In vitro fertilisation Obstetrics business.industry Obstetrics and Gynecology Gynecology and obstetrics medicine.disease Polycystic ovary RG1-991 Surgery Differential diagnosis Gonadotropin Complication business Live birth |
| Zdroj: | Case Reports in Women's Health Case Reports in Women's Health, Vol 31, Iss, Pp e00332-(2021) |
| ISSN: | 2214-9112 |
| Popis: | Ovarian hyperstimulation syndrome (OHSS) is a feared complication of controlled ovarian stimulation (COS) and can be associated with significant morbidity and mortality. Risk factors for OHSS include a history of OHSS, young age, low body mass index (BMI), polycystic ovary syndrome, elevated serum levels of anti-Müllerian hormone (AMH), large number of recruited follicles, elevated serum levels of estradiol, and higher gonadotropin doses during COS. However, OHSS may develop in patients with minimal risk factors. We present the case of a patient with minimal risk factors who developed severe late-onset OHSS in early pregnancy with liver dysfunction requiring hospitalization. After hospital discharge, her pregnancy resulted in a term live birth. We recommend that clinicians include OHSS in the differential diagnosis of elevated levels of liver enzymes in early pregnancy. Highlights • Ovarian hyperstimulation syndrome is a feared complication of controlled ovarian stimulation. • Transaminitis can be seen in moderate to severe ovarian hyperstimulation syndrome. • Ovarian hyperstimulation syndrome should be considered in the differential diagnosis of transaminitis in early pregnancy. |
| Databáze: | OpenAIRE |
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