Aytekin TOKMAK, Ali GÜZEL, Kadir KANGAL, Ahmet YALINKAYA

Term Gebelikte Spontan Over Hiperstimülasyon Sendromu

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.

Spontaneous Ovarian Hyperstimulation Syndrome in a Term Pregnancy

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.

Keywords:

Spontaneous OHSS, term pregnancy, ovarian drilling,

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