Exceptional Case of Spontaneous Ovarian Hyperstimulation Syndrome in Complete Molar Pregnancy: A Case Study

Main Article Content

Juliana Barbosa Guimarães
Adriana Bruno
https://orcid.org/0000-0002-3829-0950
Márcia Maria Pedreira da Silveira
Andrea Railla Nogueira Rodrigues
Milena Bastos Brito
https://orcid.org/0000-0002-2397-4145

Abstract

Spontaneous ovarian hyperstimulation syndrome (OHS) is an uncommon condition. We report the case of a 38-year-old woman admitted to the emergency department with vaginal bleeding, pelvic pain, and an extraordinarily high human chorionic gonadotropin (hCG) level of 1,000,000 mIU/mL. Uterine aspiration confirmed a complete hydatidiform mole. Ten days post-discharge, she returned, exhibiting severe abdominal pain, vomiting, an hCG level of 46,769 mIU/mL, and ultrasound evidence of theca lutein cysts (right ovary: 1329 cm³; left ovary: 500 cm³) along with ascites. Suspected of having OHS, she was hospitalized for clinical management. Treatment included intravenous hydration, analgesia, thromboprophylaxis, and daily laboratory tests, leading to symptomatic improvement despite rising hCG levels. After a 35-day hospital stay, she commenced chemotherapy at a specialized cancer hospital. This case emphasizes the importance of healthcare professionals being alert and aware of the possibility of this diagnostic suspicion in such cases, particularly highlighting the need for hospitalization in moderate to severe instances.

Article Details

How to Cite
Guimarães, J. B., Bruno, A., Silveira, M. M. P. da, Rodrigues, A. R. N., & Brito, M. B. (2024). Exceptional Case of Spontaneous Ovarian Hyperstimulation Syndrome in Complete Molar Pregnancy: A Case Study. Brazilian Journal of Case Reports, 4(4), 43–49. https://doi.org/10.52600/2763-583X.bjcr.2024.4.4.43-49
Section
Clinical Case Reports
Author Biographies

Juliana Barbosa Guimarães, Department of Gynecology, Obstetrics and Human Reproduction, Federal University of Bahia

Department of Gynecology, Obstetrics and Human Reproduction, Federal University of Bahia, BA, Brazil

Adriana Bruno, Professor at the Department of Gynecology, Obstetrics and Human Reproduction at the Faculty of Medicine of Bahia - Federal University of Bahia (FMB- UFBA)

Professor at the Department of Gynecology, Obstetrics and Human Reproduction at the Faculty of Medicine of Bahia - Federal University of Bahia (FMB- UFBA), Salvador, Bahia, Brazil.

Bahia Trophoblastic Disease Center (Climério de Oliveira Maternity of Bahia Federal University), Salvador, Bahia, Brazil.

Márcia Maria Pedreira da Silveira, Bahia Trophoblastic Disease Center (Climério de Oliveira Maternity of Bahia Federal University)

Bahia Trophoblastic Disease Center (Climério de Oliveira Maternity of Bahia Federal University), Salvador, Bahia, Brazil.

Andrea Railla Nogueira Rodrigues, Department of Gynecology, Obstetrics and Human Reproduction, Federal University of Bahia

Department of Gynecology, Obstetrics and Human Reproduction, Federal University of Bahia, BA, Brazil.

Milena Bastos Brito, Professor at the Department of Gynecology, Obstetrics and Human Reproduction at the Faculty of Medicine of Bahia - Federal University of Bahia (FMB- UFBA)

Professor at the Department of Gynecology, Obstetrics and Human Reproduction at the Faculty of Medicine of Bahia - Federal University of Bahia (FMB- UFBA), Salvador, Bahia, Brazil.

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