Ovarian hyperstimulation syndrome in a spontaneous pregnancy.
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551 |
Resumo: | Ovarian hyperstimulation syndrome (OHSS) is considered to be an iatrogenic complication of ovulation induction therapy. However, OHSS may rarely be associated with spontaneous ovulatory cycles, usually in multiple or molar gestations or hypothyroidism. Clinical manifestations vary and may be potentially fatal in severe cases.A 28-year-old primigravid, with no history of an infertility treatment, presented with enlarged ovaries and ascite. The patient had minor abdominal discomfort, without other complains. Ultrasound evaluation showed enlarged cystic ovaries and mild ascites. Hormonal profile revealed increased estradiol levels, with normal TSH and hCG. The patient was managed expectantly with no complications.Although spontaneous OHSS is a rare entity, it is important to consider it in cases of bilateral ovarian masses in pregnancy. Three different mechanisms responsible for the occurrence of spontaneous OHSS have been described. This syndrome is thought to be secondary to promiscuity of the FSH receptor for hCG and/or TSH. It may occur with normal or increased levels of hCG and/or TSH. |
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Ovarian hyperstimulation syndrome in a spontaneous pregnancy.Síndrome de hiperestimulação do ovário em gravidez espontânea.Ovarian hyperstimulation syndrome (OHSS) is considered to be an iatrogenic complication of ovulation induction therapy. However, OHSS may rarely be associated with spontaneous ovulatory cycles, usually in multiple or molar gestations or hypothyroidism. Clinical manifestations vary and may be potentially fatal in severe cases.A 28-year-old primigravid, with no history of an infertility treatment, presented with enlarged ovaries and ascite. The patient had minor abdominal discomfort, without other complains. Ultrasound evaluation showed enlarged cystic ovaries and mild ascites. Hormonal profile revealed increased estradiol levels, with normal TSH and hCG. The patient was managed expectantly with no complications.Although spontaneous OHSS is a rare entity, it is important to consider it in cases of bilateral ovarian masses in pregnancy. Three different mechanisms responsible for the occurrence of spontaneous OHSS have been described. This syndrome is thought to be secondary to promiscuity of the FSH receptor for hCG and/or TSH. It may occur with normal or increased levels of hCG and/or TSH.Ovarian hyperstimulation syndrome (OHSS) is considered to be an iatrogenic complication of ovulation induction therapy. However, OHSS may rarely be associated with spontaneous ovulatory cycles, usually in multiple or molar gestations or hypothyroidism. Clinical manifestations vary and may be potentially fatal in severe cases.A 28-year-old primigravid, with no history of an infertility treatment, presented with enlarged ovaries and ascite. The patient had minor abdominal discomfort, without other complains. Ultrasound evaluation showed enlarged cystic ovaries and mild ascites. Hormonal profile revealed increased estradiol levels, with normal TSH and hCG. The patient was managed expectantly with no complications.Although spontaneous OHSS is a rare entity, it is important to consider it in cases of bilateral ovarian masses in pregnancy. Three different mechanisms responsible for the occurrence of spontaneous OHSS have been described. This syndrome is thought to be secondary to promiscuity of the FSH receptor for hCG and/or TSH. It may occur with normal or increased levels of hCG and/or TSH.Ordem dos Médicos2011-12-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551oai:ojs.www.actamedicaportuguesa.com:article/1551Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 635-8Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 635-81646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551/1135Francisco, CarlaJúlio, CatarinaPinto, GraçaMartins, Ana TeresaFerreira, AmadeuMartins, Luísainfo:eu-repo/semantics/openAccess2022-12-20T10:58:07ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. Síndrome de hiperestimulação do ovário em gravidez espontânea. |
title |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. |
spellingShingle |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. Francisco, Carla |
title_short |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. |
title_full |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. |
title_fullStr |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. |
title_full_unstemmed |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. |
title_sort |
Ovarian hyperstimulation syndrome in a spontaneous pregnancy. |
author |
Francisco, Carla |
author_facet |
Francisco, Carla Júlio, Catarina Pinto, Graça Martins, Ana Teresa Ferreira, Amadeu Martins, Luísa |
author_role |
author |
author2 |
Júlio, Catarina Pinto, Graça Martins, Ana Teresa Ferreira, Amadeu Martins, Luísa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Francisco, Carla Júlio, Catarina Pinto, Graça Martins, Ana Teresa Ferreira, Amadeu Martins, Luísa |
description |
Ovarian hyperstimulation syndrome (OHSS) is considered to be an iatrogenic complication of ovulation induction therapy. However, OHSS may rarely be associated with spontaneous ovulatory cycles, usually in multiple or molar gestations or hypothyroidism. Clinical manifestations vary and may be potentially fatal in severe cases.A 28-year-old primigravid, with no history of an infertility treatment, presented with enlarged ovaries and ascite. The patient had minor abdominal discomfort, without other complains. Ultrasound evaluation showed enlarged cystic ovaries and mild ascites. Hormonal profile revealed increased estradiol levels, with normal TSH and hCG. The patient was managed expectantly with no complications.Although spontaneous OHSS is a rare entity, it is important to consider it in cases of bilateral ovarian masses in pregnancy. Three different mechanisms responsible for the occurrence of spontaneous OHSS have been described. This syndrome is thought to be secondary to promiscuity of the FSH receptor for hCG and/or TSH. It may occur with normal or increased levels of hCG and/or TSH. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551 oai:ojs.www.actamedicaportuguesa.com:article/1551 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/1551 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1551/1135 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 635-8 Acta Médica Portuguesa; Vol. 24 (2011): Suplemento 3; 635-8 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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1777301632044761088 |