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<p>Ovarian hyperstimulation syndrome (OHSS) is a recognized complication in patients receiving ovarian stimulation drugs for fertility treatment. However, rare cases of OHSS were reported with spontaneous pregnancy. Our case was a 19-year-old female (Gravida 1 Para 0) presenting to our hospital’s emergency room with severe abdominal pain, distension and dyspnea with a βhCGl evel = 54.000&#xa0;IU/L, 2&#xa0;days after undergoing dilatation and evacuation (D&amp;E) of a partial vesicular mole. Her ultrasound prior to the D&amp;E revealed a single viable fetus, abdominal collection and enlarged ovaries with bilateral theca lutein cysts. Conservative management with close follow-up was initiated with gradual improvement in clinical, radiological and lab findings. OHSS represents a rare complication of molar pregnancy, which can exacerbate following evacuation. Clinicians should maintain awareness of this potential occurrence to facilitate timely appropriate management.</p> Graphical Abstract <p></p>

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A Rare Case of Spontaneous Ovarian Hyperstimulation Syndrome (OHSS) Associated with Partial Vesicular Mole: a Case Report

  • 期刊论文

  • 发表日期：

    2025年2月11日

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  • Bassant Farag Elshatby,
  • Eslam Mohammed Rabea,
  • Hany Atef Bakr

摘要

Ovarian hyperstimulation syndrome (OHSS) is a recognized complication in patients receiving ovarian stimulation drugs for fertility treatment. However, rare cases of OHSS were reported with spontaneous pregnancy. Our case was a 19-year-old female (Gravida 1 Para 0) presenting to our hospital’s emergency room with severe abdominal pain, distension and dyspnea with a βhCGl evel = 54.000 IU/L, 2 days after undergoing dilatation and evacuation (D&E) of a partial vesicular mole. Her ultrasound prior to the D&E revealed a single viable fetus, abdominal collection and enlarged ovaries with bilateral theca lutein cysts. Conservative management with close follow-up was initiated with gradual improvement in clinical, radiological and lab findings. OHSS represents a rare complication of molar pregnancy, which can exacerbate following evacuation. Clinicians should maintain awareness of this potential occurrence to facilitate timely appropriate management.

Graphical Abstract