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Obstructive uropathy as the etiology of renal failure in ovarian hyperstimulation syndrome.

Merrilees DA, Kennedy-Smith A, Robinson RG

Wellington 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.

Published 14 April 2008 in Fertil Steril, 89(4): 992.e1-2.
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