HIPERESTIMULAÇÃO OVARIANA ESPONTÂNEA COM GESTAÇÃO TÓPICA

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Abstract

INTRODUCTION: Ovarian hyperstimulation syndrome (OHSS) is a serious and potentially fatal complication that is easily found in patients undergoing controlled ovarian hyperstimulation. Its incidence varies between 3% and 6%, while its severe form varies from 0.1% 3% of all cycles. Its occurrence in patients who have not been administered human chorionic gonadotropin (hCG) is extremely rare and it is typically associated with multiple pregnancy, hypothyroidism, mycropolicistic ovary syndrome, hydatiform mole and pituitary adenomas. CASE REPORT: In the case reported, a 26-year-old patient with a history of polycystic ovary syndrome and no history of ovulatory induction, presents with pain in the right iliac fossa and later, an ultrasound indicates ovarian hyperstimulation syndrome. After 2 months, she is diagnosed with a single, spontaneous pregnancy compatible with 5 weeks and 3 days. The chronology of the occurrence of OHSS in the reported case draws attention, since the condition, when spontaneous, usually occurs between the 8th and 14th weeks of amenorrhea, due to the action of hCG. DISCUSSION: It is necessary to emphasize the importance of early diagnosis through ultrasound in spontaneous cases, after all, these cannot be predicted. The treatment of the syndrome, in turn, is generally conservative and consists of rest, hydration and pain management, as proposed for the patient in this case. Recognition by the health professional is essential as an attempt to reduce mortality.