HISTORY A 30-year-old female patient with a history of infertility and no pregnancy presented to the gynecologic endometriosis clinic for follow-up 1 month after oocyte retrieval, to be evaluated for pelvic optimization before potential embryo transfer, with worsening dysmenorrhea, dyspareunia, and overall pelvic pain. Eleven years prior, the patient had undergone left ovarian cystectomy for treatment of endometrioma, as well as excision of deep infiltrating endometriosis. The oocyte retrieval procedure, where more than 30 eggs were retrieved, was complicated by ovarian hyperstimulation syndrome and intraperitoneal bleeding, which necessitated admission to the intensive care unit (ICU) for 3 days. Following discharge from the ICU, the patient experienced occasional on-and-off pressure of the urinary bladder and persistent aching pelvic pain. At the 1-month follow-up appointment, the patient's vital signs were assessed (blood pressure, 142/94 mm Hg; pulse rate, 95 per minute; temperature, 96.8 °F [36 °C]). Routine blood investigations, including white blood cell count, were within normal limits. Physical examination showed the abdomen was soft but there was mild pelvic tenderness. The serum β-human chorionic gonadotropin test result was negative for pregnancy, and urinalysis testing showed no leukocyte esterase or nitrites. MRI of the pelvis was performed to evaluate the worsening pain.

中文翻译：

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案例 330：卵巢过度刺激综合征情况下的卵巢扭转。


病史 一名 30 岁女性患者，有不孕史且未怀孕，在取卵后 1 个月到妇科子宫内膜异位症诊所进行随访，在可能的胚胎移植前评估盆腔优化，痛经、痛和整体盆腔疼痛恶化。11 年前，患者接受了左卵巢囊肿切除术以治疗子宫内膜异位症，以及深部浸润性子宫内膜异位症的切除。取卵手术取回了 30 多个卵子，并发卵巢过度刺激综合征和腹膜内出血，需要入住重症监护病房 （ICU） 3 天。从 ICU 出院后，患者偶尔会出现膀胱的断断续续的压力和持续的盆腔疼痛。在 1 个月的随访预约中，评估患者的生命体征（血压，142/94 毫米汞柱;脉率，每分钟 95 次;体温，96.8 °F [36 °C]）。常规血液检查，包括白细胞计数，在正常范围内。体格检查显示腹部柔软，但有轻微的盆腔压痛。血清 β-人绒毛膜促性腺激素检测结果为妊娠阴性，尿液分析检测显示无白细胞酯酶或亚硝酸盐。进行骨盆 MRI 以评估恶化的疼痛。