Display options
Cite
Gil Navarro N, Garcia Grau E, Pina Pérez S, et al. Ovarian torsion and spontaneous ovarian hyperstimulation syndrome in a twin pregnancy: A case report. Int J Surg Case Rep. 2017;34:66-68doi: 10.1016/j.ijscr.2017.03.014.
Gil Navarro, N., Garcia Grau, E., Pina Pérez, S., & Ribot Luna, L. (2017). Ovarian torsion and spontaneous ovarian hyperstimulation syndrome in a twin pregnancy: A case report. International journal of surgery case reports, 3466-68. https://doi.org/10.1016/j.ijscr.2017.03.014
Gil Navarro, Núria, et al. "Ovarian torsion and spontaneous ovarian hyperstimulation syndrome in a twin pregnancy: A case report." International journal of surgery case reports vol. 34 (2017): 66-68. doi: https://doi.org/10.1016/j.ijscr.2017.03.014
Gil Navarro N, Garcia Grau E, Pina Pérez S, Ribot Luna L. Ovarian torsion and spontaneous ovarian hyperstimulation syndrome in a twin pregnancy: A case report. Int J Surg Case Rep. 2017;34:66-68. doi: 10.1016/j.ijscr.2017.03.014. Epub 2017 Mar 15. PMID: 28371633; PMCID: PMC5377435.
Copy Download .nbib Format: NLM
Share it on

Int J Surg Case Rep. 2017;34:66-68. doi: 10.1016/j.ijscr.2017.03.014. Epub 2017 Mar 15.

Ovarian torsion and spontaneous ovarian hyperstimulation syndrome in a twin pregnancy: A case report.

International journal of surgery case reports

Núria Gil Navarro, Emma Garcia Grau, Sílvia Pina Pérez, Laia Ribot Luna

Affiliations

  1. Department of Obstetrics and Gynecology, Corporació Sanitària Parc Taulí, Parc Tauli, 1, 08208 Sabadell, Spain. Electronic address: [email protected].
  2. Department of Obstetrics and Gynecology, Corporació Sanitària Parc Taulí, Parc Tauli, 1, 08208 Sabadell, Spain.

PMID: 28371633 PMCID: PMC5377435 DOI: 10.1016/j.ijscr.2017.03.014

Abstract

INTRODUCTION: Ovarian hyperstimulation syndrome (OHSS) is extremely rare in spontaneous pregnancies. Spontaneous OHSS can result from glycoprotein hormones stimulating follicle-stimulating hormone receptors (FSHR).

PRESENTATION OF CASE: We report a twin pregnancy in which ovarian torsion and hemoperitoneum complicating OHSS were treated with left adnexectomy and aspiration. The only trigger for spontaneous OHSS in this case was high levels of chorionic gonadotropin hormone.

DISCUSSION: Multiple pregnancy, gestational trophoblastic disease, primary hypothyroidism, thyroid-stimulating hormone/gonadotropin-secreting adenomas, and mutations of the FSHR gene may trigger spontaneous OHSS.

CONCLUSION: Spontaneous OHSS should be included in the differential diagnosis of acute abdomen in pregnant women; if spontaneous OHSS is diagnosed, the etiology should be determined in order to focus the treatment and avoid future complications.

Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Case report; Hemoperitoneum; Laparoscopic adnexectomy; Spontaneous ovarian hyperstimulation syndrome; Twin pregnancy

References

  1. J Hum Reprod Sci. 2013 Apr;6(2):158-61 - PubMed
  2. Gynecol Endocrinol. 2015 Feb;31(2):105-8 - PubMed
  3. Gynecol Endocrinol. 2015;31(8):587-9 - PubMed
  4. World J Radiol. 2013 Jan 28;5(1):20-4 - PubMed
  5. J Hum Reprod Sci. 2014 Jan;7(1):66-8 - PubMed
  6. Pol J Radiol. 2015 Apr 28;80:217-27 - PubMed
  7. Gynecol Endocrinol. 2009 Jul;25(7):455-9 - PubMed
  8. Fertil Steril. 2010 Jun;94(1):351.e1-4 - PubMed

Publication Types