Abstract
A 22 years old lady was admitted because of progressive dyspnea, severe abdominal
protrusion and lower extremity edema. She had undergone ovarian hyperstimulation
for primary infertility by Clomiphen and Human chorionic gonadotropin for 3 months.
Abdominopelvic ultrasonography revealed bilateral enlarged multi cystic ovaries and massive
ascites. Transesophageal echocardiography revealed a large thrombus in right ventrice apex.
Spiral chest CT scan showed normal pulmonary vasculature with no evidence of pulmonary
thromboembolism. Heparin was started and repeat echocardiographic study showed gradual
disappearance of right ventricular thrombus. Human chorionic gonadotropin is the most
important substance which leads to capillary leakage and fluid accumulation in third space.
Fluid shift and hypovolemia may cause hypotension, hemoconcentration and formation of
vascular thrombus.
protrusion and lower extremity edema. She had undergone ovarian hyperstimulation
for primary infertility by Clomiphen and Human chorionic gonadotropin for 3 months.
Abdominopelvic ultrasonography revealed bilateral enlarged multi cystic ovaries and massive
ascites. Transesophageal echocardiography revealed a large thrombus in right ventrice apex.
Spiral chest CT scan showed normal pulmonary vasculature with no evidence of pulmonary
thromboembolism. Heparin was started and repeat echocardiographic study showed gradual
disappearance of right ventricular thrombus. Human chorionic gonadotropin is the most
important substance which leads to capillary leakage and fluid accumulation in third space.
Fluid shift and hypovolemia may cause hypotension, hemoconcentration and formation of
vascular thrombus.
Keywords
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© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.