Ovary hyperstimulation syndrome accompanying molar pregnancy: case report and review of the literature

@article{Suzuki2014OvaryHS,
  title={Ovary hyperstimulation syndrome accompanying molar pregnancy: case report and review of the literature},
  author={Hirotada Suzuki and Shigeki Matsubara and Shin-ichiro Uchida and Akihide Ohkuchi},
  journal={Archives of Gynecology and Obstetrics},
  year={2014},
  volume={290},
  pages={803-806}
}
PurposeTo describe a naturally conceived woman with ovary hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition.MethodsWe report a 31-year-old 2 parous naturally conceived woman with OHSS accompanying partial molar pregnancy. Dilatation and evacuation (D&E) were performed at 10 weeks of gestation. The signs and symptoms of OHSS were the severest on day 8 after D&E, when hCG had already decreased. This case is reported in detail. We also review… 
A Comparison of the Clinical Presentation of Ovarian Hyperstimulation Syndrome in a Partial Molar Pregnancy Case Versus a Fertility Treatment Case
TLDR
A two-case comparison is presented that first examines an exceptionally rare OHSS case presentation of a 19-year-old female with a partial molar pregnancy that was also complicated by hCG-induced thyrotoxicosis, and discusses a case of the more classic presentation of OHSS caused by fertility treatments.
Partial hydatidiform mole with spontaneous ovarian hyperstimulation syndrome.
TLDR
The pregnant, with history of hypothyroidism, presented analytic hyperthyroidism which is rare in this clinical situation, and the medical termination of pregnancy resolved this pathologic situation and also hyperthy thyroidroidism condition.
Spontaneous Ovarian Hyperstimulation Syndrome in a Partial Molar Pregnancy With Early Onset Severe Pre-eclampsia at 15 Weeks Gestation.
TLDR
A case where a partial molar pregnancy with high human chorionic gonadotropin promiscuously activated follicle stimulating hormone receptors has resulted in spontaneous ovarian hyperstimulation syndrome in molar gestations.
Ovarian hyperstimulation syndrome following surgical removal of a complete hydatidiform mole: a case report
TLDR
Physicians should be aware that ovarian cysts can occur and can increase rapidly after abortion of a hydatidiform mole, however, the ovarian cyst can return to its original size spontaneously even if it becomes huge.
Placental mesenchymal dysplasia associated with spontaneous ovarian hyperstimulation syndrome
TLDR
This is the first report of PMD associated with OHSS, and it is hypothesised that the most likely pathogenesis is ovarian stimulation from PMD-derived vascular endothelial growth factor.
Suspected ovarian molar pregnancy after assisted reproductive technology conception: a diagnostic challenge
TLDR
Cases of suspected molar disease in ectopic pregnancy present a diagnostic challenge for both clinicians and histopathologists, and establishing a definitive diagnosis may be difficult.
Multimodality imaging of acute locoregional and systemic complications in the setting of assisted reproduction
TLDR
The current methodology of ART is discussed then an imaging-based multimodality review of the potentially encountered adverse maternal sequela is presented, highlighting key diagnostic features and differential considerations as well as potential prognostic implications.

References

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TLDR
Although spontaneous ovarian hyperstimulation is a rare entity, it is important that the physician recognizes this condition and Prompt diagnosis and successful management is likely to avoid serious complications, which may develop rapidly.
A case of ovarian hyperstimulation syndrome following a spontaneous complete hydatidiform molar pregnancy
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TLDR
OHSS may develop in older women who undergo treatment for CHM pregnancies, and serious complications may develop rapidly and therefore the prompt diagnosis of OHSS is very important.
Ovarian hyperstimulation syndrome (OHSS) in spontaneous pregnancy
TLDR
Clinicians must bear the differential diagnosis of ovarianhyperstimulation syndrome in mind if a patient presents with gross ascites and other symptoms ofovarian cancer, which also may be signs of OHSS, by taking all possible differential diagnoses into account.
Ovarian hyperstimulation syndrome: pathophysiology and prevention
TLDR
Among the many prevention strategies, the current evidence points to the replacement of hCG by GnRH agonists in antagonist cycles and the performance of IVM procedures as the safest approaches.
Ovarian Hyperstimulation Syndrome: Current Views on Pathophysiology, Risk Factors, Prevention, and Management
TLDR
OHSS continues to be a serious complication of assisted reproductive therapy (ART), with no universally agreed upon best method of prevention, but cycle cancellation is the only method that can completely prevent the development of OHSS.
Urinary Excretion of Steroids in a Case of Hydatidiform Mole With Ascites
TLDR
The clinical observations and biochemical findings suggest that the ascites resulted from ovarian hyperstimulation by the endogenous HCG and show that the syndrome can be successfully managed by conservative treatment.
New insights into the pathophysiology of ovarian hyperstimulation syndrome. What makes the difference between spontaneous and iatrogenic syndrome?
TLDR
The differences between spontaneous and iatrogenic OHSS are underlines and a model to account for the different chronology between the two forms of the syndrome is proposed.
GROSS ASCTTES COMPLICATING HYDATIDIFORM MOLE
from the symphysis pubis and the girth of the abdomen was 94 cm. On examination under anaesthesia in the operating theatre a cystic mass was felt continuous with the baby’s buttocks. During the
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