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Fertility and Sterility 1997-Jul

Bilateral internal jugular venous thrombosis complicating severe ovarian hyperstimulation syndrome after prophylactic albumin administration.

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D M Moutos
M M Miller
M M Mahadevan

Keywords

Abstract

OBJECTIVE

To report a case of bilateral thrombosis of the internal jugular veins in a patient after controlled ovarian hyperstimulation and IVF.

METHODS

Case report.

METHODS

University-based IVF program.

METHODS

Ovulation induction with gonadotropins, IVF-ET, albumin administration, and therapeutic heparinization.

METHODS

Doppler ultrasound of neck veins.

RESULTS

Severe ovarian hyperstimulation syndrome and bilateral thrombosis of the internal jugular veins occurred despite prophylactic administration of albumin. This was treated successfully with therapeutic heparinization.

CONCLUSIONS

Internal jugular venous thrombosis, a rare complication of ovulation induction with gonadotropins, should be considered in patients with neck pain and swelling.

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