Rare Triad of Spontaneous Ovarian Hyperstimulation Syndrome, Ovarian Torsion and Intestinal Obstruction in Pregnancy: Diagnosed with Ultrasound

JOURNAL TITLE: Journal of Postgraduate Medicine, Education and Research

Author
1. Seema Chopra
2. Niranjan Khandelwal
3. Upasana Sinha
4. Tulika Singh
5. Madhurima Sharma
ISSN
2277-8969
DOI
10.5005/jp-journals-10028-1299
Volume
52
Issue
4
Publishing Year
2018
Pages
4
Author Affiliations
    1. PGIMER, Chandigarh, India
    2. Postgraduate Institute of Medical Education and Research, Chandigarh, India
    3. Postgraduate Institute of Medical, Education and Research, Chandigarh, India
    1. Department of Prosthodontics, Teerthanker Mahaveer Dental College & Research Centre, Moradabad, Uttar Pradesh, India
    1. Department of Radio Diagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Department of Radio Diagnosis, Government Medical College and Hospital, Chandigarh, India
  • Article keywords
    Doppler ultrasonography, Ovarian hyperstimulation syndrome (OHSS), Pregnancy, Torsion, Ultrasonography (USG)

    Abstract

    Ovarian hyperstimulation syndrome (OHSS) is a known iatrogenic complication of assisted reproductive techniques. Spontaneous OHSS in the absence of ovulation induction is very rare, which can be more rarely complicated by ovarian torsion. Prompt diagnosis of ovarian torsion is desirable to preserve the viability of ovary. However, the background of OHSS can make it difficult to diagnose ovarian torsion. A careful evaluation of ovary on ultrasound can make a diagnosis of ovarian torsion. Intestinal obstruction is also rare in pregnancy. We describe a rare case of spontaneous OHSS in pregnancy presenting with torsion and intestinal obstruction, which was diagnosed on ultrasound.

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