A female undergoing treatment for infeility with IVF was given Inj. HCG, present with history of vomiting, nausea, and headache. The USG is shown as below, what is the diagnosis?: (A) Ovarian Hyperstimulation Syndrome, (B) PCOS, (C) Theca leutin Cysts, (D) Granulosa cell Tumor
Answer is A. USG image showing multiple cysts along with h/o undergoing IVF treatment is suggestive of Ovarian Hyperstimulation syndrome Ovarian hyperstimulation syndrome (OHSS) It is a complication of ovarian stimulation treatment (ovarian induction therapy) orin-vitrofeilisation (IVF). Rarely, it may occur in pegnancy as a spontaneous event. Ascites and pleural effusion may also be present USG findings : Bilateral symmetric enlargement of ovaries. Multiple cysts of varying sizes, giving it "spoke-wheel appearance"