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Myriam Rachad, Hikmat Chaara, Fatim Zahra Fdili, Hakima Bouguern, Abdilah Melhouf. Ovarian hyperstimulation syndrome in a spontaneous pregnancy with invasive mole: report of a case. The Pan African Medical Journal. 2011;9:23 Key words: Ovaries, hyperstimulation syndrome, spontaneous pregnancy, invasive mole Permanent link: http://www.panafrican-med-journal.com/content/article/9/23/full Received: 28/04/2011 - Accepted: 24/06/2011 - Published: 27/06/2011 © Myriam Rachad et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy with invasive mole: report of a case
Myriam Rachad1,&, Hikmat Chaara1, Fatim Zahra Fdili1, Hakima Bouguern1, Abdilah Melhouf
1Department of Obstetrics and Gynecology II, CHU Hassan II, Fez, Morocco
&Corresponding author
Myriam Rachad, Department of Obstetrics and Gynecology II, CHU Hassan II, Fez, Morocco
It is known that most cases of Ovarian Hyperstimulation Syndrome (OHSS) are associated with the therapies for ovulation induction. However, OHSS may rarely be associated with a spontaneous ovulatory cycle, usually in the case of multiple gestations, hypothyroidism or polycystic ovary syndrome. We report a case of severe OHSS in spontaneous pregnancy with invasive mole in a 34 years old woman. The clinical picture showed abdominal pain, massive ascites, nausea, dyspnea and amenorrhea. After imaging examinations and laboratory tests, the diagnosis was established. The patient was managed expectantly with no complications. Although spontaneous ovarian hyperstimulation is a rare entity, it is important that the physician recognizes this condition. Prompt diagnosis and successful management is likely to avoid serious complications, which may develop rapidly.
