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Case Reports in Critical Care
Volume 2012, Article ID 189705, 4 pages
http://dx.doi.org/10.1155/2012/189705
Case Report

Spontaneous Ovarian Hyperstimulation Syndrome in a Triplet Pregnancy

1Department of Obstetrics and Gynecology, Institute of Medical Sciences, Banaras Hindu University, Uttar Pradesh, Varanasi 221005, India
2Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Uttar Pradesh, Varanasi 221005, India

Received 18 August 2012; Accepted 1 October 2012

Academic Editors: C. Diez, M. Doganay, and C. Lazzeri

Copyright © 2012 Nisha Rani Agrawal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ovarian hyperstimulation syndrome (OHSS) is a potentially life-threatening complication, usually iatrogenic after ovulation induction. OHSS is a very rare event in spontaneously conceived pregnancies. Only few cases have been reported in literature to the best of our knowledge. We report a very rare case of spontaneous critical OHSS (according to classification of severity of OHSS as mentioned in Greentop guidelines no. 5, 2006) associated with triplet pregnancy in a 26-year-old woman suffering from severe abdominal pain, distension, and dyspnea. Our case highlights the importance of a strong suspicion for OHSS when a clinical presentation could not be explained by common medical conditions.