Clinical and Experimental Reproductive Medicine

The Korean Society for Reproductive Medicine (대한생식의학회)
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A Case of Subacute Embolism in Brain Associated with Severe Ovarian Hyperstimulation Syndrome

뇌 혈관의 아급성 색전증을 동반한 중증 난소과자극 증후군 1례

  • Kim, Seung-Hyun (Department of Obstetrics and Gynecology, Eulji University Hospital) ;
  • Kang, Kyoung-Hwa (Department of Obstetrics and Gynecology, Eulji University Hospital) ;
  • Yang, Yun-Seok (Department of Obstetrics and Gynecology, Eulji University Hospital) ;
  • Hwang, In-Taek (Department of Obstetrics and Gynecology, Eulji University Hospital) ;
  • Park, Jun-Suk (Department of Obstetrics and Gynecology, Eulji University Hospital) ;
  • Kim, Jeong-Hyun (Department of Obstetrics and Gynecology, Eulji University Hospital) ;
  • Kim, Jin-Sub (Department of Obstetrics and Gynecology, Eulji University Hospital)
  • 김승현 (을지대학병원 산부인과) ;
  • 강경화 (을지대학병원 산부인과) ;
  • 양윤석 (을지대학병원 산부인과) ;
  • 황인택 (을지대학병원 산부인과) ;
  • 박준숙 (을지대학병원 산부인과) ;
  • 김정현 (을지대학병원 산부인과) ;
  • 김진섭 (을지대학병원 산부인과)
  • Published : 2008.06.30
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Abstract

Ovarian hyperstimuation syndrome (OHSS) is the most serious complication of controlled ovarian stimulation. It causes symptoms such as, ovarian enlargement, ascites, pleural effusion, pericardial effusion, hemoconcentration, electrolyte imbalance, and thromboembolism. Although proper management is done, thromboembolism could occur and is difficult to predict. Moreover it can cause death. Consequently thromboembolism is the most dangerous complication of OHSS. We experienced a OHSS patient with thromboembolism of the brain after having IVF-ET.

난소과자극 증후군 (Ovarian Hyperstimulation, OHSS)은 배란 유도의 가장 심각한 합병증 중의 하나로서 난소 비대, 복수, 흉수, 심막 삼출액, 혈액 농축, 전해질 이상 및 혈전증 등의 증상을 초래하는 것으로 알려져 있다. 특히 난소과자극 증후군 환자에서 혈전 색전증의 발생은 적절한 치료에도 불구하고 발생하고 예측이 어렵고 환자를 사망에 이르게 할 수도 있기에 가장 위험한 합병증 중의 하나로 인식되고 있다. 저자들은 체외수정 시술 후 중증 난소과자극 증후군 환자에서 본원 입원 치료 중 합병된 색전증에 대한 증례를 경험하였기에 보고하는 바이다.

Keywords

References

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