Abstract
We report in this work, the evolution and management of a case of ovarian hyperstimulation syndrome (OHS) complicated by severe acute renal failure (ARI). A young 31-year-old patient pregnant with twins after 17 weeks of amenorrhea was admitted to nephrology department for rapidly progressive acute renal failure (AKI) (creatinine increases in 48 hours from 28mg/l to 55mg/l) and was complicated by major hydro-electrolyte disorders and multi-organ failure. Her past medical history revealed an ovulation induction before her last pregnancy and a spontaneous abortion seven years ago before her hospitalization which occurred in the 2nd trimester of her 1st twin pregnancy obtained by medically assisted reproduction. Despite optimal care, the patient improves her renal function and her multiorgan failure after abortion in gynecological intensive care. Because of worldwide increase of infertility cases and the use of new ovulation induction techniques with these risks of serious complications, we report this interesting clinical case of OHS.
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