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首页> 外文期刊>Journal of International Medical Research >Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review
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Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review

机译:非妊娠女性患者的自发卵巢过度刺激综合征:案例报告和文献综述

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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.
机译:自发的卵巢过度刺激综合征(SOHS)通常发生在具有自发排卵循环的患者中,特别是在具有多重妊娠的人中,结合甲状腺功能亢进和多囊卵子综合征。 Sohs很少发生在未怀孕的女性身上。一名明显腹胀的23岁的女性参观了我们的医院。患者没有怀孕,并且没有受到控制的超级化。除了腹胀,患者否认任何明显的激励症状,腹痛,阴道出血或排水的任何症状。生物化学分析显示出高碳水化合物抗原-125水平和低总蛋白质和白蛋白水平。腹部超声和计算机断层摄影显示大量腹水和囊性不均匀质量,在卵巢和输卵管的区域中具有不规则形状。手术后组织病理学表明SOHSS的诊断。进行楔形切除卵巢。进一步进行症状处理,患者恢复良好。我们的研究结果表明,未经怀孕的女性可能会出现Sohss。另外,除卵泡刺激激素受体基因突变假设外,还应进一步研究SOHS的发病机制。

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