Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy
Yıl: 2015 Cilt: 40 Sayı: 3 Sayfa Aralığı: 623 - 626 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy
Öz: Gebelik döneminde spontan OHSS son derece nadirdir. Bu çalışmanın amacı, term gebelikte spontan over hiperstimülasyon sendromunu sunmaktır. 29 yaşındaki primigravid kadının 35 haftaya kadar olan gebeliği gözlendi. Bu zaman süresince hastanın normal overlere sahip normal bir gebeliği vardı. Hasta kliniğe 37 haftalık iken hızlı kilo alma, abdominal sıkıntısı ve ağrı ile başvurdu. Ultrason inceleme çoklu foliküllü ve hafif assit içeren büyük multifoliküler overleri gösterdi. Gebeliğin 39. haftasında, overler daha önce tespit edilen ile aynıydı ve fötal makrozomi nedeniyle sezaryen uygulandı. 4060 gr ağırlığında sağlıklı bir kız bebeğin doğumu gerçekleştirildi. Multifoliküler içeren genişlemiş bilateral overler elektrokoter ile delindi. Doğumdan 2 hafta sonra overler normal haline geri döndü. Literatürde geç gebelikte meydana gelen spontan OHSS ile ilgili hiç vaka bildirilmedi. Sezaryen sırasında over delimi ileride yararlı olabilir.
Anahtar Kelime: Konular:
Term Gebelikte Spontan Over Hiperstimülasyon Sendromu
Öz: Spontaneous OHSS in a term pregnancy is extremely rare. The aim of this study is to present a case of spontaneous ovarian hyperstimulation syndrome (OHSS) in a term pregnancy. A 29-year-old primigravida woman conceived spontaneously and was observed up until 35 weeks of gestation. During this time the patient had a normal pregnancy with normal ovaries. She applied to the current clinic during the 37th week of gestation with complaints of rapid weight gain, abdominal disturbance, and pain. Ultrasound examination showed large bilateral ovaries with multiple follicles and mild ascites. At 39 weeks of gestation, the ovaries were the same as detected previously, and a caesarean section was performed due to fetal macrosomia. A healthy female foetus weighing 4060 gr was delivered. The enlarged bilateral ovaries containing multiple follicles were drilled with electrocautery. The ovaries returned to a near normal state for two weeks after the birth. There are no reported cases of spontaneous OHSS in late pregnancy in the literature. Ovarian drilling may be useful during caesarean section.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Cluroe AD, Synek BJ. A fatal case of ovarian hyperstimulation syndrome with cerebral infarction. Pathology. 1995;27:344-6.
- 2. Foong LC, Bhagavath B, Kumar J and Ng SC. Ovarian hyperstimulation syndrome is associated with reversible impairment of vascular reactivity. Fertil Steril 2002;78:1159-63.
- 3. Schenker JG. Clinical aspects of ovarian hyperstimulation syndrome. Eur J Obstet Gynecol Reprod Biol 1999;85:13-20.
- 4. Zalel Y, Katz Z, Caspi B, et al. Spontaneous ovarian hyperstimulation syndrome concomitant with spontaneous pregnancy in a woman with polycystic ovary disease. Am J Obstet Gynecol. 1992;167:122-4.
- 5. Rotmensch S, Scommegna A. Spontaneous ovarian hyperstimulation syndrome associated with hypothyroidism. Am J Obstet Gynecol 1989;160:1220-2.
- 6. Di Carlo C, Savoia F, Gargano V, Sparice S, Bifulco G, Nappi C. Successful pregnancy complicated by spontaneous, familial, recurrent ovarian hyperstimulation syndrome: report of two cases. Gynecological Endocrinology. 2013;29:897-900.
- 7. Wiser A, Levron J, Kreizer D, et al. Outcome of pregnancies complicated by severe ovarian hyperstimulation syndrome (OHSS): a follow-up beyond the second trimester. Human Reproduction. 2004;20:910-4.
- 8. Ayhan A, Tuncer ZS, Aksu AT. Ovarian hyperstimulation syndrome associated with spontaneous pregnancy. Human Reproduction. 1996;11:1600-1.
| APA | Tokmak A, Guzel A, KANGAL K, YALINKAYA A (2015). Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. , 623 - 626. |
| Chicago | Tokmak Aytekin,Guzel Ali İrfan,KANGAL Kadir,YALINKAYA Ahmet Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. (2015): 623 - 626. |
| MLA | Tokmak Aytekin,Guzel Ali İrfan,KANGAL Kadir,YALINKAYA Ahmet Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. , 2015, ss.623 - 626. |
| AMA | Tokmak A,Guzel A,KANGAL K,YALINKAYA A Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. . 2015; 623 - 626. |
| Vancouver | Tokmak A,Guzel A,KANGAL K,YALINKAYA A Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. . 2015; 623 - 626. |
| IEEE | Tokmak A,Guzel A,KANGAL K,YALINKAYA A "Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy." , ss.623 - 626, 2015. |
| ISNAD | Tokmak, Aytekin vd. "Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy". (2015), 623-626. |
| APA | Tokmak A, Guzel A, KANGAL K, YALINKAYA A (2015). Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. Çukurova Üniversitesi Tıp Fakültesi Dergisi, 40(3), 623 - 626. |
| Chicago | Tokmak Aytekin,Guzel Ali İrfan,KANGAL Kadir,YALINKAYA Ahmet Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. Çukurova Üniversitesi Tıp Fakültesi Dergisi 40, no.3 (2015): 623 - 626. |
| MLA | Tokmak Aytekin,Guzel Ali İrfan,KANGAL Kadir,YALINKAYA Ahmet Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. Çukurova Üniversitesi Tıp Fakültesi Dergisi, vol.40, no.3, 2015, ss.623 - 626. |
| AMA | Tokmak A,Guzel A,KANGAL K,YALINKAYA A Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. Çukurova Üniversitesi Tıp Fakültesi Dergisi. 2015; 40(3): 623 - 626. |
| Vancouver | Tokmak A,Guzel A,KANGAL K,YALINKAYA A Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy. Çukurova Üniversitesi Tıp Fakültesi Dergisi. 2015; 40(3): 623 - 626. |
| IEEE | Tokmak A,Guzel A,KANGAL K,YALINKAYA A "Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy." Çukurova Üniversitesi Tıp Fakültesi Dergisi, 40, ss.623 - 626, 2015. |
| ISNAD | Tokmak, Aytekin vd. "Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy". Çukurova Üniversitesi Tıp Fakültesi Dergisi 40/3 (2015), 623-626. |
