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Bilateral internal jugular venous thrombosis complicating severe ovarian hyperstimulation syndrome after prophylactic
D M Moutos1, M M Miller, M M Mahadevan
1University of Arkansas for Medical Sciences, Department of Obstetrics and Gynecology, Little Rock 72205, USA.
Objective:
To report a case of bilateral thrombosis of the internal jugular veins in a patient after controlled ovarian hyperstimulation and IVF.
Design:
Case report.
Setting:
University-based IVF program.
Intervention(S):
Ovulation induction with gonadotropins, IVF-ET, albumin administration, and therapeutic heparinization.
Main Outcome Measure(S):
Doppler ultrasound of neck veins.
Result(S):
Severe ovarian hyperstimulation syndrome and bilateral thrombosis of the internal jugular veins occurred despite prophylactic administration of albumin. This was treated successfully with therapeutic heparinization.
Conclusion(S):
Internal jugular venous thrombosis, a rare complication of ovulation induction with gonadotropins, should be considered in patients with neck pain and swelling.