Ovarian Hyperstimulation Syndrome as an Etiology of Obstructive Uropathy
Joint Authors
Alappan, Narendrakumar
Chopra, Amit
Marak, Creticus P.
Guddati, Achuta Kumar
Ponea, Anna M.
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-26
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication of controlled ovarian hyperstimulation (COH) protocols performed in women undergoing assisted reproductive technologies.
Overstimulation of the ovaries results in the overproduction of vasoactive cytokines and mediators by the ovaries, thereby causing a generalized capillary leak and acute shift of protein-rich fluid from the intravascular compartment into the third space.
This may lead to the development of ascites, pleural effusions, pericardial effusion, anasarca, intravascular volume depletion, hemoconcentration, oliguria, hypoalbuminemia and hypoproteinemia, electrolyte imbalances, acute renal failure, abdominal compartment syndrome, thromboembolic events, and adult respiratory distress syndrome.
The only effective treatment available is prevention of the syndrome from developing by individualizing the stimulation protocol, especially in high-risk patients.
Once the syndrome develops, the management is mainly supportive.
Oliguria and some degree of acute renal failure commonly develop in patients with moderate to severe OHSS and are usually due to prerenal causes.
Acute renal failure (ARF) secondary to obstructive uropathy is rare.
Here we report a case of severe, life-threatening OHSS resulting in ARF secondary to obstructive uropathy.
American Psychological Association (APA)
Marak, Creticus P.& Chopra, Amit& Alappan, Narendrakumar& Ponea, Anna M.& Guddati, Achuta Kumar. 2013. Ovarian Hyperstimulation Syndrome as an Etiology of Obstructive Uropathy. Case Reports in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-488555
Modern Language Association (MLA)
Marak, Creticus P.…[et al.]. Ovarian Hyperstimulation Syndrome as an Etiology of Obstructive Uropathy. Case Reports in Obstetrics and Gynecology No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-488555
American Medical Association (AMA)
Marak, Creticus P.& Chopra, Amit& Alappan, Narendrakumar& Ponea, Anna M.& Guddati, Achuta Kumar. Ovarian Hyperstimulation Syndrome as an Etiology of Obstructive Uropathy. Case Reports in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-488555
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-488555