Clinical Case: Management of the Patient with Ascites Within two Years after In Vitro Fertilizationand Development of the Ovarian Hyperstimulation Syndrome
Kalugina A. S., Chezhina M. V., Andreev A. L., Lapina E. N., Ellinidi V. N.
AVA-PETER clinic, St. Petersburg., Russian Federation
Federal State Institution “Russian Center of Emergency and Radiation Medicine named after A.Nikiforov” EMERCOM of Russia
Abstract.
The article presents the results of investigation and observation of a patient with a long, persistent ascites after suffering 1.5 years ago late ovarian hyperstimulation syndrome (ohss) severe. Clinical feature of this case was the absence of other manifestations of ohss (typical changes ovarian hemoconcentration, hypovolemia, hypercoagulability, hepatorenal dysfunction) that required the differential diagnosis of malignant ascites education, tuberculous peritonitis. With this aim diagnostic laparoscopy with subsequent histological and immunohistochemical the peritoneal biopsies and ovaries were conducted.
Keywords:
ovarian hyperstimulation syndrome, ascites unclear etiology, histiocytic mesothelial hyperplasia of peritoneum
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Authors
Kalugina A.S.
First St.Petersburg State Medical University named after I. P. Pavlov Russian Health Ministry,M.D., professor at the Department of Obstetrics and Gynecology;
AVA-PETER clinic, Deputy head doctor of obstetrics, gynecology and reproductive medicine
e-mail: Kalugina-AS@avaclinic.ru
Chezhina M.V.
AVA-PETER clinic, Head of the IVF department
e-mail: Chezhina-MV@avaclinic.ru
Andreev A.L.
AVA-PETER clinic, M.D., Deputy Head doctor of surgery
e-mail: Andreev-AL@avaclinic.ru
Lapina E.N.
AVA-PETER clinic, PhD, Obstetrician-gynecologist
e-mail: Lapina-EN@avaclinic.ru
Ellinidi V.N.
Federal State Institution “Russian Center of Emergency and Radiation Medicine named after A.Nikiforov” EMERCOM of Russia, PhD, Head of the pathology department
Russian Federation, 194044, St. Petersburg. Academician Lebedev st., 4, Lit. A
e-mail: ellinidiv@rambler.ru