Nigerian Medical Journal

CASE REPORT
Year
: 2020  |  Volume : 61  |  Issue : 5  |  Page : 269--272

Spontaneous ovarian hyperstimulation syndrome: A report of two cases from different pathogenesis


Nkem Nnenna Nwafor1, Nsikak Paul Nyoyoko2 
1 Department of Radiology, University of Uyo Teaching Hospital, Uyo, Nigeria
2 Department of Obstetrics and Gynecology, University of Uyo Teaching Hospital, Uyo, Nigeria

Correspondence Address:
Dr. Nkem Nnenna Nwafor
Department of Radiology, University of Uyo Teaching Hospital, Uyo
Nigeria

Spontaneous ovarian hyperstimulation syndrome (s-OHSS) is a rare finding that occurs in early pregnancy. There is a rapidly increasing ovarian size secreting vasoactive substances that lead to fluid shift into third spaces. This occurs in the absence of exogenous hormonal therapy. We present two cases of s-OHSS. A 35-year-old gravida 4 para 3 presented with complaints of progressive abdominal pain, distension, nausea, vomiting, and difficulty in breathing at 10 weeks gestation. On imaging, a singleton intrauterine gestation, enlarged ovaries containing multiple cysts, and moderate ascites were seen. Second, a 17-year-old primigravida presented with abdominal distension and pain and bleeding per vaginam following 4 months amenorrhea. A bulky uterus containing a large hyperechoic structure with multiple cystic spaces in keeping complete molar gestation and enlarged ovaries containing multiple cysts were seen on ultrasound imaging. The singleton gestation was managed successfully to term with conservative therapy tailored to clinical symptoms.


How to cite this article:
Nwafor NN, Nyoyoko NP. Spontaneous ovarian hyperstimulation syndrome: A report of two cases from different pathogenesis.Niger Med J 2020;61:269-272


How to cite this URL:
Nwafor NN, Nyoyoko NP. Spontaneous ovarian hyperstimulation syndrome: A report of two cases from different pathogenesis. Niger Med J [serial online] 2020 [cited 2020 Dec 2 ];61:269-272
Available from: https://www.nigeriamedj.com/article.asp?issn=0300-1652;year=2020;volume=61;issue=5;spage=269;epage=272;aulast=Nwafor;type=0