Strangulated internal hernia following severe ovarian hyperstimulation syndrome: a case report

Abstract

Ovarian hyperstimulation syndrome (OHSS) is a serious complication of ovarian stimulation. Herein, we report a rare case of strangulated internal hernia in a woman with severe OHSS following ovulation induction. A delay in the diagnosis and management of acute abdominal pain can lead to serious problems. The aim of this case report was to highlight the diagnostic difficulties of abdominal pain in women with OHSS, and emphasize the positive effects of imaging and a timely differential diagnosis in clinical practice.

摘要

卵巢过度刺激综合征（OHSS）是刺激卵巢的一种严重并发症。 在此, 我们报道1例在促排卵后出现严重OHSS的女性发生绞窄性腹内疝的罕见情况。急性腹痛的诊断和治疗延迟可能导致严重问题。本病例报道的目的是强调发生OHSS的女性出现腹痛的诊断困难, 并提示影像学和及时鉴别诊断的积极作用。

Keywords:

• Acute abdominal pain
• internal hernia
• imaging examination
• multiple pregnancy
• ovarian hyperstimulation syndrome

Acknowledgments

We are grateful to Dr Fanguo Hu (Department of General surgery, Tianjin Medical General Hospital) for his help on providing useful advice on the management of the patient.

Disclosure statement

No potential conflict of interest was reported by the author(s).