• J Reprod Med · Jan 2001

    Case Reports

    10% hydroxyethyl starch for plasma expansion in the treatment of severe ovarian hyperstimulation syndrome. A case report.

    • D Rabinerson, Z Ben Rafael, J Keslin, V Zolotarsky, and A Dekel.
    • Department of Obstetrics and Gynecology and General Intensive Care Unit, Rabin Medical Center, Golda Campus, Petah Tiqva 49372, Israel.
    • J Reprod Med. 2001 Jan 1; 46 (1): 68-70.

    BackgroundSevere ovarian hyperstimulation syndrome is a complication of hormonal therapy for in vitro fertilization and carries the risk of renal failure. The injection of 6% hydroxyethyl starch has been used as a preventive measure.CaseA 33-year-old woman was admitted with severe ovarian hyperstimulation syndrome after receiving gonadotropins as part of our in vitro fertilization protocol. Despite treatment with saline, albumin and abdominal taps, oliguria developed on the third day. The patient was transferred to the general intensive care unit and treated with 10% hydroxyethyl starch, furosemide and a further abdominal tap. Recovery was rapid.ConclusionTen percent hydroxyethyl starch is an efficient plasma expander. It is safe, biohazard free and cost-effective. It seems to effectively control severe ovarian hyperstimulation syndrome and to overcome acute prerenal failure. Larger prospective studies are necessary to further evaluate its role in the treatment of severe ovarian hyperstimulation syndrome.

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