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Radiological illustration of spontaneous ovarian hyperstimulation syndrome.

Mittal K, Koticha R, Dey AK, Anandpara K, Agrawal R, Sarvothaman MP, Thakkar H - Pol J Radiol (2015)

Bottom Line: The patient had no significant medical and surgical history.This article illustrates and emphasizes that diagnosis of s-OHSS and its etiology can be completely evaluated radiologically.Biochemical markers will confirm the radiological diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Seth GS Medical College and KEM Hospital, Mumbai, India.

ABSTRACT

Background: The role of radiology is of utmost importance not only in diagnosing s-OHSS but also in ruling out other cystic ovarian diseases and to determine the underlying etiology and course of the disease. We presented a radiological algorithm for diagnosing the various causes of s-OHSS.

Case report: A 26-year-old female, gravida one was referred to radiology department with history of lower abdominal pain, nausea and vomiting since 2 days which was gradual in onset and progression. The patient had no significant medical and surgical history.

Conclusions: This article illustrates and emphasizes that diagnosis of s-OHSS and its etiology can be completely evaluated radiologically. Biochemical markers will confirm the radiological diagnosis.

No MeSH data available.


Related in: MedlinePlus

A 26-year-old female with spontaneous OHSS. The pelvis T2W MRI images show a T2 hypointense lesion in the intrauterine cavity suggestive of a fetus. There are hyperintense multiple cysts seen without any mural nodule arising from either the right (in the right iliac fossa) or the left ovary (in the pouch of Douglas).
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f2-poljradiol-80-217: A 26-year-old female with spontaneous OHSS. The pelvis T2W MRI images show a T2 hypointense lesion in the intrauterine cavity suggestive of a fetus. There are hyperintense multiple cysts seen without any mural nodule arising from either the right (in the right iliac fossa) or the left ovary (in the pouch of Douglas).

Mentions: A provisional diagnosis of severe OHSS in spontaneous pregnancy was made. Differential diagnosis of tuberculosis and malignancy was also considered. Further imaging with MRI confirmed OHSS (Figure 2). The β hCG level corresponded to the weeks of gestation. Estradiol level was elevated and amounted to 3000 pg/mL (reference value for the 1st trimester is 188–2479 pg/mL); CA 125 was normal. The patient was managed with intravenous fluid and 5% albumin, and subjected to regular physical, biochemical, and radiological monitoring. The patient was discharged and advised to undergo weekly follow-ups. The pregnancy progressed to term without any other complications. A follow-up MRI after 6 weeks post-partum revealed a simple ovarian cyst in the left ovary with complete regression of s-OHSS (Figure 3).


Radiological illustration of spontaneous ovarian hyperstimulation syndrome.

Mittal K, Koticha R, Dey AK, Anandpara K, Agrawal R, Sarvothaman MP, Thakkar H - Pol J Radiol (2015)

A 26-year-old female with spontaneous OHSS. The pelvis T2W MRI images show a T2 hypointense lesion in the intrauterine cavity suggestive of a fetus. There are hyperintense multiple cysts seen without any mural nodule arising from either the right (in the right iliac fossa) or the left ovary (in the pouch of Douglas).
© Copyright Policy - open-access
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC4418209&req=5

f2-poljradiol-80-217: A 26-year-old female with spontaneous OHSS. The pelvis T2W MRI images show a T2 hypointense lesion in the intrauterine cavity suggestive of a fetus. There are hyperintense multiple cysts seen without any mural nodule arising from either the right (in the right iliac fossa) or the left ovary (in the pouch of Douglas).
Mentions: A provisional diagnosis of severe OHSS in spontaneous pregnancy was made. Differential diagnosis of tuberculosis and malignancy was also considered. Further imaging with MRI confirmed OHSS (Figure 2). The β hCG level corresponded to the weeks of gestation. Estradiol level was elevated and amounted to 3000 pg/mL (reference value for the 1st trimester is 188–2479 pg/mL); CA 125 was normal. The patient was managed with intravenous fluid and 5% albumin, and subjected to regular physical, biochemical, and radiological monitoring. The patient was discharged and advised to undergo weekly follow-ups. The pregnancy progressed to term without any other complications. A follow-up MRI after 6 weeks post-partum revealed a simple ovarian cyst in the left ovary with complete regression of s-OHSS (Figure 3).

Bottom Line: The patient had no significant medical and surgical history.This article illustrates and emphasizes that diagnosis of s-OHSS and its etiology can be completely evaluated radiologically.Biochemical markers will confirm the radiological diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Seth GS Medical College and KEM Hospital, Mumbai, India.

ABSTRACT

Background: The role of radiology is of utmost importance not only in diagnosing s-OHSS but also in ruling out other cystic ovarian diseases and to determine the underlying etiology and course of the disease. We presented a radiological algorithm for diagnosing the various causes of s-OHSS.

Case report: A 26-year-old female, gravida one was referred to radiology department with history of lower abdominal pain, nausea and vomiting since 2 days which was gradual in onset and progression. The patient had no significant medical and surgical history.

Conclusions: This article illustrates and emphasizes that diagnosis of s-OHSS and its etiology can be completely evaluated radiologically. Biochemical markers will confirm the radiological diagnosis.

No MeSH data available.


Related in: MedlinePlus