Spontaneous ovarian hyperstimulation syndrome in the postpartum period

Ksenia A. Rudenko , Irina E. Zazerskaya , Olga A. Li , Vadim A. Bezrukikh , Ilya V. Parfyonov , Andrey V. Yakubov , Elena D. Vyshedkevich , Irina A. Mashchenko

Journal of obstetrics and women's diseases ›› 2022, Vol. 71 ›› Issue (2) : 123 -131.

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Journal of obstetrics and women's diseases ›› 2022, Vol. 71 ›› Issue (2) : 123 -131. DOI: 10.17816/JOWD84425
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Spontaneous ovarian hyperstimulation syndrome in the postpartum period

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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.

Keywords

ovarian hyperstimulation syndrome / postpartum period / systemic inflammatory response syndrome / low molecular weight heparin / procalcitonin

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Ksenia A. Rudenko, Irina E. Zazerskaya, Olga A. Li, Vadim A. Bezrukikh, Ilya V. Parfyonov, Andrey V. Yakubov, Elena D. Vyshedkevich, Irina A. Mashchenko. Spontaneous ovarian hyperstimulation syndrome in the postpartum period. Journal of obstetrics and women's diseases, 2022, 71(2): 123-131 DOI:10.17816/JOWD84425

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