OVARIAN HYPERSTIMULATION SYNDROME;

IN SPONTANEOUS CONCEPTION A CASE REPORT

Abstract

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 ovarian syndrome. We report a case of moderate OHSS in spontaneously conceived
twin pregnancy in a 24 years old woman. The clinical picture showed amenorrhea,nausea,
vomiting, abdominal pain and moderate ascites. After examinations, imaging and laboratory
investigations, 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.