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Obstructive uropathy as the etiology of renal failure in ovarian hyperstimulation syndrome
David Alastair Merrilees1, Andrew Kennedy-Smith, Richard G Robinson
1Wellington Hospital, Capital and Coast DHB, Wellington South, New Zealand. dmerrilees@hotmail.com
Objective:
To make people aware that there is potential for obstructive uropathy to complicate ovarian hyperstimulation syndrome (OHSS) and cause renal impairment.
Design:
Case report.
Setting:
Hospital.
Patient(S):
A 28-year-old Caucasian female presenting with acute severe OHSS.
Intervention(S):
Bilateral JJ stenting.
Main Outcome Measure(S):
Resolution of renal impairment.
Result(S):
Successful treatment of renal failure.
Conclusion(S):
Patients with severe OHSS and renal impairment should be evaluated with renal ultrasound to rule out hydronephrosis and therefore an obstructive uropathy. Patients potentially at risk for such a complication from OHSS may include those with prior abdominal or pelvic surgery.
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