In vitro fertilisation, ovarian hyperstimulation syndrome, 4 weeks pregnant

Images by Genevieve Carbonatto

A patient presents to the Emergency department with severe abdominal pain. She is 4 weeks pregnant . Thus is an IVF pregnancy. She has ovarian hyperstimulation syndrome.The ovary measures 14.7 cm X 9.38 cm.It is polycystic. There is a large amount of fluid in the peritoneal cavity. The gestational sac not yet visible on transabdominal ultrasound ( 4 weeks pregnant). The uterus is being pushed posteriorly by the large  ovary.

This is her scan:

Scanning though the pelvis in the longitudinal plane



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