Question

A 24-year-old woman who is being treated for infertility with human menopausal gonadotropin came with complaints of sudden abdominal pain, nausea, vomiting, and breathlessness. The finding of the ultrasound is shown below. What is the most likely diagnosis?

• A. Ovarian hyperstimulation syndrome
• B. Polycystic ovarian syndrome
• C. Theca lutein cysts
• D. Granulosa cell tumor

Answer 1

The Correct Option is A

In this scenario, a 24-year-old woman undergoing treatment for infertility is experiencing sudden abdominal pain, nausea, vomiting, and breathlessness following therapy with human menopausal gonadotropin. These symptoms, combined with the clinical context and ultrasound findings, suggest a particular diagnosis.

To solve this problem, it is crucial to understand the context and symptoms:

1. Human Menopausal Gonadotropin Therapy: This treatment stimulates ovarian follicles, increasing the risk of ovarian hyperstimulation syndrome (OHSS) especially in women undergoing infertility treatments.
2. Symptoms: The sudden onset of abdominal pain, nausea, vomiting, and breathlessness are key symptoms typically associated with OHSS. These occur due to increased vascular permeability and fluid shifts, leading to ascites and potential respiratory compromise.
3. Ultrasound Findings: Although the specific ultrasound image is not visible here, OHSS is characterized by enlarged, cystic ovaries and free fluid in the pelvis or abdomen (ascites).

Given these factors, the most likely diagnosis is Ovarian Hyperstimulation Syndrome (OHSS). This diagnosis aligns with the clinical presentation and known complications of gonadotropin therapy.

Thus, the correct answer is:

• Ovarian hyperstimulation syndrome