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.
Spontaneous ovarian hyperstimulation syndrome in the postpartum period
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.
ovarian hyperstimulation syndrome / postpartum period / systemic inflammatory response syndrome / low molecular weight heparin / procalcitonin
| [1] |
Ekstrakorporal’noe oplodotvorenie: prakticheskoe rukovodstvo dlya vrachei. I.U. Kogan, ed. Moscow: GEOTAR-Media; 2021. (In Russ.). DOI: 10.33029/9704-5941-6-IVF-2021-1-368 |
| [2] |
Экстракорпоральное оплодотворение: практическое руководство для врачей / под ред. И.Ю. Когана. М.: ГЭОТАР-Медиа, 2021. |
| [3] |
Rossiyskoe obshchestvo akusherov-ginekologov, OOO “Rossiyskaya assotsiatsiya reproduktsii cheloveka (RARCh)”; Assotsiatsiya akusherskikh anesteziologov-reanimatologov. Sindrom giperstimulyatsii yaichnikov. Klinicheskie rekomendatsii. 2021 (In Russ.). [cited 2021 Dec 12]. Available from: https://www.arfpoint.ru/wp-content/uploads/2021/09/kr665.pdf |
| [4] |
Российское общество акушеров-гинекологов, ООО «Российская ассоциация репродукции человека (РАРЧ)», Ассоциация акушерских анестезиологов-реаниматологов. Синдром гиперстимуляции яичников. Клинические рекомендации. 2021. [дата обращения 12.12.2021]. Доступ по ссылке: https://www.arfpoint.ru/wp-content/uploads/2021/09/kr665.pdf |
| [5] |
The Management of Ovarian Hyperstimulation Syndrome. Royal College of Obstetricians and Gynaecologists. Green-top guideline No. 5. February 2016. [cited 2021 Dec 12]. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg_5_ohss.pdf |
| [6] |
The Management of Ovarian Hyperstimulation Syndrome. Royal College of Obstetricians and Gynaecologists. Green-top guideline No. 5. February 2016. [дата обращения 12.12.2021]. Доступ по ссылке: https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg_5_ohss.pdf |
| [7] |
Kraevaya EE, Petrosyan YA, Tapil’skaya NI. Ovarian hyperstemulation syndrome as a private case of iatrogenic capillary leak syndrome. Kazan medical journal. 2019;100(2):270–276. (In Russ.). DOI: 10.17816/KMJ2019-270 |
| [8] |
Краевая Е.Е., Петросян Я.А., Тапильская Н.И. Синдром гиперстимуляции яичников как частный случай ятрогенного синдрома повышенной проницаемости капилляров // Казанский медицинский журнал. 2019. Т. 100. № 2. С. 270–276. DOI: 10.17816/KMJ2019-270 |
| [9] |
Morotti E, Battaglia C. Oligosympthomatic ovarian hyperstimulation syndrome in a spontaneous uneventful pregnancy. A case report. Gynecol Endocrinol. 2019;35(8):657–660. DOI: 10.1080/09513590.2019.1579791 |
| [10] |
Morotti E., Battaglia C. Oligosympthomatic ovarian hyperstimulation syndrome in a spontaneous uneventful pregnancy. A case report // Gynecol. Endocrinol. 2019. Vol. 35. No. 8. P. 657–660. DOI: 10.1080/09513590.2019.1579791 |
| [11] |
Royal College of Obstetricians and Gynaecologists. Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk. Green-top Guideline No. 37a. April 2015. [cited 2021 Dec 12]. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg37a/ |
| [12] |
Royal College of Obstetricians and Gynaecologists. Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk. Green-top guideline No. 37a. April 2015. [дата обращения 12.12.2021]. Доступ по ссылке: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg37a/ |
| [13] |
He C, Huang H, Song Y. Spontaneous and severe ovarian hyperstimulation syndrome after delivery: a case report. Gynecol Endocrinol. 2008;24(8):450–451. DOI: 10.1080/09513590802246075 |
| [14] |
He C., Huang H., Song Y. Spontaneous and severe ovarian hyperstimulation syndrome after delivery: a case report // Gynecol. Endocrinol. 2008. Vol. 24. No. 8. P. 450–451. DOI: 10.1080/09513590802246075 |
| [15] |
Nakatsuka M, Miyamoto M, Soyama H. et al. A case of spontaneous ovarian hyperstimulation syndrome after vaginal delivery. J Obstet Gynaecol. 2019;39(7):1022–1024. DOI: 10.1080/01443615.2019.1601691 |
| [16] |
Nakatsuka M., Miyamoto M., Soyama H. et al. A case of spontaneous ovarian hyperstimulation syndrome after vaginal delivery // J. Obstet. Gynaecol. 2019. Vol. 39. No. 7. P. 1022–1024. DOI: 10.1080/01443615.2019.1601691 |
| [17] |
Mittal K, Koticha R, Dey AK, et al. Radiological illustration of spontaneous ovarian hyperstimulation syndrome. Pol J Radiol. 2015;80:217–227. DOI: 10.12659/PJR.893536 |
| [18] |
Mittal K., Koticha R., Dey A.K. et al. Radiological illustration of spontaneous ovarian hyperstimulation syndrome // Pol. J. Radiol. 2015. Vol. 80. P. 217–227. DOI: 10.12659/PJR.893536 |
| [19] |
Panagiotopoulou N, Byers H, Newman WG, Bhatia K. Spontaneous ovarian hyperstimulation syndrome: case report, pathophysiological classification and diagnostic algorithm. Eur J Obstet Gynecol Reprod Biol. 2013;169(2):143–148. DOI: 10.1016/j.ejogrb.2013.03.004 |
| [20] |
Panagiotopoulou N., Byers H., Newman W.G., Bhatia K. Spontaneous ovarian hyperstimulation syndrome: case report, pathophysiological classification and diagnostic algorithm // Eur. J. Obstet. Gynecol. Reprod. Biol. 2013. Vol. 169. No. 2. P. 143–148. DOI: 10.1016/j.ejogrb.2013.03.004 |
| [21] |
Strelchenko DA, Perminova SG, Donnikov AE, et al. Spontaneous ovarian hyperstimulation syndrome. Obstetrics and Gynecology. 2019;(1):166–170. (In Russ.). DOI: 10.18565/aig.2019.1.166-170 |
| [22] |
Стрельченко Д.А., Перминова С.Г., Донников А.Е. и др. Спонтанная форма синдрома гиперстимуляции яичников // Акушерство и гинекология. 2019. № 1. С. 166–170. (In Russ.). DOI: 10.18565/aig.2019.1.166-170 |
| [23] |
Topdagi Yilmaz EP, Yapca OE, Topdagi YE, et al. Spontaneous ovarian hyperstimulation syndrome with FSH receptor gene mutation: Two rare case reports. Case Rep Obstet Gynecol. 2018;2018:9294650. DOI: 10.1155/2018/9294650. |
| [24] |
Topdagi Yilmaz E.P., Yapca O.E., Topdagi Y.E. et al. Spontaneous ovarian hyperstimulation syndrome with FSH receptor gene mutation: Two rare case reports // Case Rep. Obstet. Gynecol. 2018. Vol. 2018. P. 9294650. DOI: 10.1155/2018/9294650 |
| [25] |
Dieterich M, Bolz M, Reimer T, et al. Two different entities of spontaneous ovarian hyperstimulation in a woman with FSH receptor mutation. Reprod Biomed Online. 2010;20(6):751–758. DOI: 10.1016/j.rbmo.2010.02.017 |
| [26] |
Dieterich M., Bolz M., Reimer T. et al. Two different entities of spontaneous ovarian hyperstimulation in a woman with FSH receptor mutation // Reprod. Biomed. Online. 2010. Vol. 20. No. 6. P. 751–758. DOI: 10.1016/j.rbmo.2010.02.017 |
| [27] |
Dey AK, Dubey A, Mittal K, Kale S. Spontaneous ovarian hyperstimulation syndrome – understanding the dilemma. Gynecol Endocrinol. 2015;31(8):587–589. DOI: 10.3109/09513590.2015.1037268 |
| [28] |
Dey A.K., Dubey A., Mittal K., Kale S. Spontaneous ovarian hyperstimulation syndrome – understanding the dilemma // Gynecol. Endocrinol. 2015. Vol. 31. No. 8. P. 587–589. DOI: 10.3109/09513590.2015.1037268 |
| [29] |
Adamyan LV, Artymuk NV, Belokrinickaya TE, et al. Intensive treatment of ovarian hyperstimulation syndrome. Clinical guidelines (treatment protocol). Alexander Saltanov Intensive Care Herald. 2018;4:8–25. (In Russ.). DOI: 10.21320/1818-474X-2018-4-8-25 |
| [30] |
Адамян Л.В., Артымук Н.В., Белокриницкая Т.Е. и др. Интенсивная терапия синдрома гиперстимуляции яичников. Клинические рекомендации (протокол лечения) // Вестник интенсивной терапии имени А.И. Салтанова. 2018. № 4. С. 8–25. DOI: 10.21320/1818-474X-2018-4-8-25 |
| [31] |
Kasum M, Danolić D, Orešković S, et al. Thrombosis following ovarian hyperstimulation syndrome. Gynecol Endocrinol. 2014;30(11):764–768. DOI: 10.3109/09513590.2014.927858 |
| [32] |
Kasum M., Danolić D., Orešković S. et al. Thrombosis following ovarian hyperstimulation syndrome // Gynecol. Endocrinol. 2014. Vol. 30. No. 11. P. 764–768. DOI: 10.3109/09513590.2014.927858 |
| [33] |
Osaikhuwuomwan JA, Osemwenkha AP. Ovarian hyperstimulation syndrome in a spontaneous pregnancy: A potential for missed-diagnosis. Niger Med J. 2016;57(1):74–76. DOI: 10.4103/0300-1652.180563 |
| [34] |
Osaikhuwuomwan J.A., Osemwenkha A.P. Ovarian hyperstimulation syndrome in a spontaneous pregnancy: A potential for missed-diagnosis // Niger. Med. J. 2016. Vol. 57. No. 1. P. 74–76. DOI: 10.4103/0300-1652.180563 |
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