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Human Reproduction, Vol. 15, No. 5, 1058-1060, May 2000
© 2000 European Society of Human Reproduction and Embryology

A tale of two syndromes: ovarian hyperstimulation and abdominal compartment: Case report

Tulin Cil, Ian S. Tummon1, Andrew A. House, Brian Taylor, Glen Hooker, Jason Franklin, Richard Rankin and Mark Carey

Department of Obstetrics and Gynaecology, The University of Western Ontario, 339 Windermere Road, London, Ontario N65 5A5, Canada

Abdominal compartment syndrome complicated severe ovarian hyperstimulation in a 35 year old woman with multiple bowel resections due to Crohn's disease. Pain from ovarian enlargement necessitated hospital admission. Despite intravenous fluid administration and heparin prophylaxis, ilio-femoral deep vein thrombosis developed. Treatment by intravenous heparin was complicated by repeated intra-ovarian bleeding, anaemia and acute renal failure requiring haemodialysis. Intra-abdominal pressures were elevated. After placement of an inferior vena caval filter and discontinuation of heparin, there was slow spontaneous recovery without surgery.

Key words: abdominal compartment syndrome/ovarian hyperstimulation

1 To whom correspondence should be addressed


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