Pulmonary embolism and intraperitoneal bleeding in a patient with severe ovarian hyper stimulation syndrome (OHSS): A management dilemma

Ovarian hyper stimulation syndrome (OHSS) and venous thromboembolic are known complications of ovarian stimulation therapy. Pulmonary embolism accounts for 7.9% of the episodes of thromboembolic diseases reported in OHSS. We describe a case of 33-year-old Bahraini woman who presented to the Bahrain Defense Force Hospital (Banoon Center) with a history of 13 years primary infertility, and previous unsuccessful intrauterine insemination. Through the In-vitro fertilization (IVF) treatment cycle she had Ovarian hyperstimulation which was further complicated with ovarian bleeding and pulmonary embolism. Our case addresses this rare complication and its management challenges related to the event of thromboembolic disease with anticoagulants in the presence of bleeding. (C) 2017 Middle East Fertility Society. Production and hosting by Elsevier B.V.