We describe the acute deterioration of a 29-year-old undergoing in vitro fertilisation. Late-onset critical ovarian hyperstimulation syndrome triggered a massive pulmonary embolism and subsequent cardiac arrest. While the prognosis was deemed to be poor, the patient made a full recovery. The potential reasons for this are explored.
- venous thromboembolism
- gynaecology and fertility
- pulmonary embolism
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Contributors First author (JG) cared for the patient and planned the writing of the report, obtained consent and took overall responsibility for write up. Second author (TL) performed the literature review and assisted in writing the introduction and discussion. Third and fourth authors (JK and JH) cared for the patient and offered expert opinion on the case and made corrections to the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.