Profound hypotension and sodium retention with the ovarian hyperstimulation syndrome

A 34-year-old woman developed profound hypotension and sodium retention following hormonal induction of ovulation. There was a transient response to infusion of albumin, but hypotension and hyponatremia persisted for 5 days. Nevertheless, acute renal failure did not develop. Available information indicates that this syndrome can occur with exogenous administration of gonadotrophic hormones or with a successful pregnancy.