Case of the Month December 2014, page 4


C, D

The ovaries are of normal size and with an increased number of follicles, suggestive of polycystic ovarian syndrome.

Two months later, the patient presented to the ED with complaints of nausea, severe abdominal pain, and bloating after egg retrieval the prior day. In the ED her blood pressure was 70s-80s/20s-40s, requiring IV fluids.

For larger images, please click December 2014 - 5 , December 2014 - 6 , December 2014 - 7 and December 2014 - 8 .


CT and ultrasound were obtained. What is the diagnosis?
A) Meigs’ syndrome
B) Ovarian hyperstimulation syndrome
C) Ovarian torsion with massive ovarian edema
D) Aggressive ovarian neoplasm with malignant ascites
E) Pseudomyxoma peritonei

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