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Prog. obstet. ginecol. (Ed. impr.) ; 60(6): 590-593, nov.-dic. 2017. tab, ilus
Article in Spanish | IBECS | ID: ibc-171148

ABSTRACT

El síndrome de hiperestimulación ovárica espontáneo es un evento raro en embarazos naturalmente concebidos, que se manifiesta generalmente entre la semana 8 y 14 de gestación. Este reporte describe un caso de mujer de 27 años, G1P0A0, sin antecedentes personales que ingresa con embarazo de 13 semanas y cuadro clínico de varios meses de evolución de astenia, adinamia, estreñimiento, ascitis y posterior sangrado vaginal. Exámenes al ingreso de la hormona estimulante de la tiroides de 228 mUI/ml (VR 0,27-4,2 mUI/ml), T4l 0,08 ng/dl (VR 0,93-1,7 ng/dl) y presencia de formaciones quísticas multilobuladas en ambos ovarios. Se consideró hiperestimulación ovárica secundaria a hipotiroidismo y se inició manejo con levotiroxina oral; ante persistencia de dolor abdominal, es llevada a cistectomía de ovario por laparotomía en la semana 16, con mejoría sintomática. Es dada de alta con mejoría clínica y paraclínica y T4l 0,94 ng/dl (AU)


Spontaneous ovarian hyper-stimulation syndrome is a rare event in naturally conceived pregnancies, which usually manifests between 8 and 14 weeks of pregnancy. This report describes a case of a 27 year old primigravidae woman, with any remarkable pathological antecedent, who was admitted at her 13 week of pregnancy with several months of fatigue, weakness, constipation, ascites and posterior vaginal bleeding. At admission laboratory test showed an elevated TSH of 228 mIU / ml (RV: 0.27-4.2 mIU / ml) and multiloculated presence of cystic formations in both ovaries. Hypothyroidism secondary to ovarian hyper-stimulation was considered and management began with oral levothyroxine. Because of persistent abdominal pain, ovarian cystectomy by laparotomy was made at week 16, with symptomatic improvement. She is discharged with clinical improvement and FT4 0.94 ng/dl (AU)


Subject(s)
Humans , Female , Pregnancy , Adult , Ovarian Hyperstimulation Syndrome/complications , Pregnancy Complications/etiology , Hypothyroidism/complications , Polycystic Ovary Syndrome/complications , Thyroxine/administration & dosage , Cystectomy
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