Ovarian hyperstimulation syndrome with spontaneous bacterial peritonitis and thrombocytosis: A Case Report

Nurike Setiyari Mudjari, Rusdiyana Ekawati, Arianti, Annisa Zahra Mufida, Budi Widodo, Titong Sugihartono

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction:Todate,severeOvarianHyperstimulation Syndrome (OHSS) that can be associated with mortality only occurred in 0.1 % – 2 % of all OHSS cases. This paper reports one of those rare cases accompanied by spontaneous bacterial peritonitis and thrombocytosis. Case Presentation: A 28-year-old female had OHSS as a complication of in-vitro fertilization. Clinical presentation fever, dyspnea, ascites, thrombocytosis, leukocytosis, and bilateral multiloculated cystic ovaries. Fluid analysis revealed polymorphonuclears 545 cells/mm3. Treatment includes antibiotics, human albumin serum, low molecular weight heparin, and abdominal paracentesis. The patient was discharged after one week of admission and there were no recurrent OHSS events thereafter. Conclusion: In patients with severe OHSS, urgent treatment with multidisciplinary management is mandatorily needed. If left untreated, OHSS can result in serious complications and even death.

Original languageEnglish
Pages (from-to)S171-S178
JournalGaceta Medica de Caracas
Volume131
DOIs
Publication statusPublished - Apr 2023
Externally publishedYes

Keywords

  • Ovarian hyperstimulation syndrome
  • spontaneous bacterial peritonitis
  • thrombocytosis

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