Abdominal Compartment Syndrome Due to OHSS

Excerpt

Infertility is a relatively common disorder. An estimated population of about 40.5 million seek therapy [1]. Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication of ovulation stimulation in ART [2]. The prevalence of mild OHSS is 20–23 % of IVF cycles, while a 3–6 % moderate and 0.1–2 % severe form were reported as well [3‐5]. Despite several factors contributing to increased vascular permeability, the pathophysiology of this syndrome remains unknown [6, 7]. Adnexal torsion, rupture of ovarian cysts, hemoperitoneum, thrombotic events, and anesthesia complications may be the consequences of OHSS [8‐12]. Abdominal compartment syndrome (ACS) is quite rare considering the ART protocol, but can be fatal [13‐15]. Several therapies have been proposed for severe OHSS [16‐20]. However, ACS needs laparotomy. …