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ABSTRACT: Background: Spontaneous ovarian hyperstimulation syndrome rarely occurs duringpregnancy and is usually associated with high levels of human chorionicgonadotropin, in conditions such as molar or multifetal pregnancies.Case report: Here we report spontaneous ovarian hyperstimulation in a patientpresenting with missed abortion at 16th week of gestation, when serum ß-subunithuman chorionic gonadotropin level detected to be 400 milliunit per milliliter.Evacuation and curettage was performed and the ovaries returned to about normal sizetwo months later.Conclusion: Spontaneous ovarian hyperstimulation syndrome can develop even inthe presence of very low levels of hCG in missed abortion.
Iranian Journal of Reproductive Medicine. 01/2008;