Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review

Spontaneous ovarian hyperstimulation syndrome (sOHSS) usually occurs in patients with a spontaneous ovulation cycle, especially in those with multiple pregnancies combined with hypothyroidism and polycystic ovary syndrome. sOHSS rarely occurs in women who are not pregnant. A 23-year-old woman with o...

Full description

Bibliographic Details
Main Authors: Wei Chai, Hongyu He, Fei Li, Wenlei Zhang, Chao He
Format: Article
Language:English
Published: SAGE Publishing 2020-09-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520952647
_version_ 1818966317141590016
author Wei Chai
Hongyu He
Fei Li
Wenlei Zhang
Chao He
author_facet Wei Chai
Hongyu He
Fei Li
Wenlei Zhang
Chao He
author_sort Wei Chai
collection DOAJ
description Spontaneous ovarian hyperstimulation syndrome (sOHSS) usually occurs in patients with a spontaneous ovulation cycle, especially in those with multiple pregnancies combined with hypothyroidism and polycystic ovary syndrome. sOHSS rarely occurs in women who are not pregnant. A 23-year-old woman with obvious abdominal distension visited our hospital. The patient was not pregnant and had not undergone controlled superovulation. Apart from abdominal distension, the patient denied any symptom of obvious incentives, abdominal pain, abnormal vaginal bleeding, or drainage. Biochemical analysis showed a high carbohydrate antigen-125 level and low total protein and albumin levels. Abdominal ultrasound and computed tomography showed a large amount of ascites and cystic uneven masses with an irregular shape in the area of the ovaries and fallopian tubes. Post-surgical histopathology indicated the diagnosis of sOHSS. Wedge resection of both ovaries was performed. Symptomatic treatment was further performed and the patient recovered well. Our findings indicate that sOHSS can occur in women who are not pregnant. Additionally, besides the follicle-stimulating hormone receptor gene mutation hypothesis, the pathogenesis of sOHSS should be further studied.
first_indexed 2024-12-20T13:30:59Z
format Article
id doaj.art-f8ebd036e42e4dd28a2808b3d71992ed
institution Directory Open Access Journal
issn 1473-2300
language English
last_indexed 2024-12-20T13:30:59Z
publishDate 2020-09-01
publisher SAGE Publishing
record_format Article
series Journal of International Medical Research
spelling doaj.art-f8ebd036e42e4dd28a2808b3d71992ed2022-12-21T19:39:05ZengSAGE PublishingJournal of International Medical Research1473-23002020-09-014810.1177/0300060520952647Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature reviewWei ChaiHongyu HeFei LiWenlei ZhangChao HeSpontaneous ovarian hyperstimulation syndrome (sOHSS) usually occurs in patients with a spontaneous ovulation cycle, especially in those with multiple pregnancies combined with hypothyroidism and polycystic ovary syndrome. sOHSS rarely occurs in women who are not pregnant. A 23-year-old woman with obvious abdominal distension visited our hospital. The patient was not pregnant and had not undergone controlled superovulation. Apart from abdominal distension, the patient denied any symptom of obvious incentives, abdominal pain, abnormal vaginal bleeding, or drainage. Biochemical analysis showed a high carbohydrate antigen-125 level and low total protein and albumin levels. Abdominal ultrasound and computed tomography showed a large amount of ascites and cystic uneven masses with an irregular shape in the area of the ovaries and fallopian tubes. Post-surgical histopathology indicated the diagnosis of sOHSS. Wedge resection of both ovaries was performed. Symptomatic treatment was further performed and the patient recovered well. Our findings indicate that sOHSS can occur in women who are not pregnant. Additionally, besides the follicle-stimulating hormone receptor gene mutation hypothesis, the pathogenesis of sOHSS should be further studied.https://doi.org/10.1177/0300060520952647
spellingShingle Wei Chai
Hongyu He
Fei Li
Wenlei Zhang
Chao He
Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review
Journal of International Medical Research
title Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review
title_full Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review
title_fullStr Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review
title_full_unstemmed Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review
title_short Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review
title_sort spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient a case report and literature review
url https://doi.org/10.1177/0300060520952647
work_keys_str_mv AT weichai spontaneousovarianhyperstimulationsyndromeinanonpregnantfemalepatientacasereportandliteraturereview
AT hongyuhe spontaneousovarianhyperstimulationsyndromeinanonpregnantfemalepatientacasereportandliteraturereview
AT feili spontaneousovarianhyperstimulationsyndromeinanonpregnantfemalepatientacasereportandliteraturereview
AT wenleizhang spontaneousovarianhyperstimulationsyndromeinanonpregnantfemalepatientacasereportandliteraturereview
AT chaohe spontaneousovarianhyperstimulationsyndromeinanonpregnantfemalepatientacasereportandliteraturereview