A rare case of spontaneous ovarian hyperstimulation syndrome in a pregnant female managed conservatively

Ovarian hyperstimulation syndrome (OHSS) is a rare syndrome, characterized by cystic enlargement of the ovaries and fluid shift from intravascular to third space due ovarian neo-angiogenesis increased capillary permeability. It generally iatrogenic, occurring administration human chorionic gonadotrophin (hCG) during assisted reproductive techniques. Spontaneous form OHSS so that easy confuse diagnosis spontaneous with other causes. Only few cases have been reported in literature where was seen without prior stimulation any exogenous hormones. Here we present case 30-year-old Indian female who 5 weeks pregnant. Since there no history hormone before/during this pregnancy, carcinoma instead thought be primary diagnosis. There presence breathlessness, ascites bilateral masses raised CA-125. A battery tests investigations, moderate made after excluding all The patient managed conservatively her symptoms improved time. suspected strongly patients undergoing infertility treatment whenever 3rd accumulation or increase number follicles ovary. However, rarely can considered as differential causes found for abdominal pain, nausea-vomiting, ascites, pleural effusion specially if Due vascular permeability such along extravascular loss fluid, hypovolemia. If missed, may risk unnecessary interventions morbidity patients. Strict monitoring hospital required. In most mild only conservative management needed while severe cases, intensive care unit (ICU) admission necessary.