Abdominal Compartment Syndrome due to OHSS

  • Firoozeh Veisi High Risk Pregnancy Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • Maryam Zangeneh High Risk Pregnancy Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • Shohreh Malekkhosravi High Risk Pregnancy Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • Negin Rezavand High Risk Pregnancy Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
Keywords: Ovarian hyperstimulation syndrome(OHSS), Abdominal compartment syndrome(ACS), Intraabdominal pressure(IAP)


Abdominal compartment syndrome is a dangerous clinical situation, usually following abdominal injuries &operations. It is seldom observed in patients with gynecologic and obstetric problems. Abdominal compartment syndrome may be consequence ovarian hyperstimulation syndrome. A 28-year-old woman presented as a sever ovarian hyperstimulation.The increased IAP indicated that OHSS may be considered a compartment syndrome. Abdominal compartment syndrome needs laparotomy or paracentesis for reduction of pressure.


Boivin J, Bunting L, Collins JA, Nygren KG. New debate: international estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care.Hum Reprod 2007; 22:1506-12.

Delvigne A, Rozenberg S.Review of clinical course and treatment of ovarian hyperstimulstion syndrome.Hum Reprod Update 2003;9 :77-96.

Navot D, Bergh PA, Laufer N.Ovarian hyperstimulation syndrome in novel reproductive technologies: prevention and treatment. Fertile Steril 1992;58:249-61.

Golan A, Ron-El R, Herman A , Soffer Y, Weinraub Z, Caspi E. Ovarian hyperstimulation syndrome: an update review. Obstet Gynecol Surv 1989;44:430-40.

Brinsden PR, Wada I, Tan SL , Balen A, Jacobs HS. Review : diagnosis, prevention and management of ovarian hyperstimulation syndrome.Br J Obstet Gynecol 1995;102:767-72.

Albert C, Garrido N, Mercader A, Rao CV, Remohi J, Simon C, et al.The role of endothelial cells in the pathogenesis of ovarian hyperstimulation syndrome.Hum Reprod Update 2002; 8: 409-18.

Gomez R, Simon C, Remohi J, Pellicer A. Vascular endothelial growth factor receptor-2 activation induces vascular permeability in hyperstimulated rats and this effect is prevented by receptor blockede. Endocrinology 2002;143 : 4339-48.

Gunabushanam G, Mandal K, Lai S.Hemopritoneum from ruptured cyst in a hyperstimulated ovary : a sonographic mimic of ovarian hyperstimulation syndrome. J Clin Ultrasound 2007 ;35:281-3.

Qazi A, Ahmad AN, Qazi MP, Usman F, Ahmad A. Ischaemic stroke with ovarian hyperstimulation syndrome. J Pak Med Assoc 2008 ;58: 411-3.

Alasiri SA, Case AM.Thrombosis of subclavian and internal jugular veins following sever ovarian hyperstimulation syndrome : a case report. J Obstet Gynaecol Can 2008 ; 30 :590-7.

Bodri D, Guillen JJ, Polo A, Trullenque M, Esteve C,Coll O.Complications related to ovarian stimulation and oocyte retrieval in 4052 oocyte donor cycles. Reprod Biomed Online 2008;17:237-43.

Kawamura G, Ito N, Hanaoka K, Yamada Y.Anesthetic management of a patient with sever ovarian hyperstimulation syndrome. Masui 2009; 58:360-2.

Celoria G, Steingrub J, Dawson J.A, Teres D. Oliguria from high intra-abdominal pressure secondry to ovarian mass. Crit Care Med 1987;15:78-9.

Merrilees DA, Kennedy-Smith A, Robinson RG.Obstructive uropathy as the etiology of renal failure in ovarian hyperstimulation syndrome.Fertil Steril 2008; 89 :992.

Scheppach W. Abdominal compartment syndrome.Best Practice &Research Clinical Gastroenterology 2009;23:25-33.

Smith LP, Hacker MR, Alper MM.Patients with sever ovarian hyperstimulation syndrome can managed safely with aggressive outpatient transvaginal paracentesis. Fertil Steril 2009;92: 1953-9.

Lainas TG, Sfontouris IA, Zorzovilis IZ, Petsas GK,Lainas GT, Alexopoulou E, et al.Live births after management of sever OHSS by GnRH antagonist administration in the luteal phase.Reprod Biomed Online 2009;19: 789-95.

Lainas TG, Sfontouris IA,Zorzovilis IZ, Petsas GK, Lainas GT, Kolibianakis EM.Management of sever early ovarian hyperstimulation syndrome by reinitiation of GnRH antagonist.Reprod Biomed Online 2007;15:408-12.

Queenan JT Jr. Embryo freezing to prevent ovarian hyperstimulation syndrome.Molecular and Cellular Endocrinology 2000;169 :79-83.

Ata B, Seyhan A, Orhaner S, Urman B.High dose cabergoline in management of ovarian hyperstimulation syndrome.Fertility and sterility 2009;92:1168.

Vyhnanek F.Abdominal catastrophe-surgeons view.Rozhi Chir 2010;89:356-60.

Merrilees DA, Kennedy-Smith A, Robinson RG. Obstructive uropathy as the etiology of renal failure in ovarian hyperstimulation syndrome.Fertil Steril 2008;89:992.

Licciardi FL, Liu HC, Rosenwakes Z.Day3 estradiol serum concentrations as prognosticators of ovarian stimulation response and pregnancy outcome in patients undergoing in vitro fertilization. Fertil Steril 1995;64:991- 4.

Rosenwaks Z, Davis OK, Damario MA.The role of maternal age in assisted reproduction.Hum Reprod 1995;10:165-73.

Seifer DB, Lambert-Messerlian G, Hogan JW, Gardiner AC, Blazar AS, Berk CA. Day 3 serum inhibin-B is predictive of assisted reproductive technologies outcome. Fertil Steril 1997; 67:110-4.

Buyalos RP, Lee CT. Polycystic ovary syndrome:pathophysiology and outcome with in vitro fertilization. Fertil Steril 1996;65:1-10.

Cil T, Tummon IS, House AA, Taylor B, Hooker G, Franklin J, et al. A tale of two syndromes: ovarian hyperstimulation and abdominal compartment. Hum Reprod 2000;15:1058-60.

Delvigne A , Rozenberg S. Epidemiology and prevention of ovarian hyperstimulation syndrome :a review. Hum Reprod Update 2002; 8 :559-77.

Wikland M, Hamberger L, Enk L, Nilsson L. Technical and clinical aspects of ultrasound guided oocyte recovery. Hum Reprod 1989;4:79-82.

Dicker D,Dekel A ,Orvieto R, Bar-Hava I,Feldberg D,Ben-Rafael Z.Ovarian abcess after ovum retrieval for in-vitro fertilization. Hum Reprod 1998; 13:1813-4

Scoccia B , Marcovici I , Brandt T. Uterine abcess after ultrasound-guided ovum retrieval in an in vitro fertilization-embryo transfer program:case report and review of the literature. j Assist Reprod Genet 1992;285-9.

Bennet SJ, Waterstone JJ, Cheng WC, Parsons J. Complications of transvaginal ultrasound-directed follicle aspiration: a review of 2670 consecutive procedures. J Assist Reprod Genet 1993; 10:72-7.

Kelada E, Ghani R. Bilateral ovarian abscesses following transvaginal oocyte retrieval for IVF : A case report and review of literature. J Assist Reprod Genet 2007; 24:143-5.

How to Cite
Veisi F, Zangeneh M, Malekkhosravi S, Rezavand N. Abdominal Compartment Syndrome due to OHSS. JFRH. 6(1):39-2.
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