Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive Technology

The case is about a young female who delivered twins by caesarean section (CS). On the 4th postoperative day, she presented with ascites which was resistant to empirical antibiotic and diuretic treatment. The woman was affected by Turner syndrome (TS); she had a medical background of chronic use of...

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Main Authors: Nikolaos Tsagkas, George Valasoulis, Konstantinos Zikopoulos, Calliope Zerzi, Ioannis Mitselos, Ioannis Koutoulakis, Nikolaos Tzampouras, Theodor Stefos
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/459679
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author Nikolaos Tsagkas
George Valasoulis
Konstantinos Zikopoulos
Calliope Zerzi
Ioannis Mitselos
Ioannis Koutoulakis
Nikolaos Tzampouras
Theodor Stefos
author_facet Nikolaos Tsagkas
George Valasoulis
Konstantinos Zikopoulos
Calliope Zerzi
Ioannis Mitselos
Ioannis Koutoulakis
Nikolaos Tzampouras
Theodor Stefos
author_sort Nikolaos Tsagkas
collection DOAJ
description The case is about a young female who delivered twins by caesarean section (CS). On the 4th postoperative day, she presented with ascites which was resistant to empirical antibiotic and diuretic treatment. The woman was affected by Turner syndrome (TS); she had a medical background of chronic use of hormonal medication since puberty and conceived through ART- (assisted reproduction techniques-) IVF-oocyte donation. It is important to exhibit high suspicion for clot formation in the hepatic vasculature during the puerperium, especially in the case of history of chronic hormone treatment. Ascites albumin gradient and Doppler values lead to the diagnosis of thrombosis and the administration of high doses of anticoagulants is considered to be fundamental.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-7fe69c4bf7b145148f0b3dce522db5822025-02-03T01:32:52ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/459679459679Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive TechnologyNikolaos Tsagkas0George Valasoulis1Konstantinos Zikopoulos2Calliope Zerzi3Ioannis Mitselos4Ioannis Koutoulakis5Nikolaos Tzampouras6Theodor Stefos7Department of Obstetrics & Gynaecology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceDepartment of Obstetrics & Gynaecology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceDepartment of Obstetrics & Gynaecology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceDepartment of Obstetrics & Gynaecology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceDepartment of Gastroenterology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceDepartment of Obstetrics & Gynaecology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceDepartment of Gastroenterology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceDepartment of Obstetrics & Gynaecology, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500 Ioannina, GreeceThe case is about a young female who delivered twins by caesarean section (CS). On the 4th postoperative day, she presented with ascites which was resistant to empirical antibiotic and diuretic treatment. The woman was affected by Turner syndrome (TS); she had a medical background of chronic use of hormonal medication since puberty and conceived through ART- (assisted reproduction techniques-) IVF-oocyte donation. It is important to exhibit high suspicion for clot formation in the hepatic vasculature during the puerperium, especially in the case of history of chronic hormone treatment. Ascites albumin gradient and Doppler values lead to the diagnosis of thrombosis and the administration of high doses of anticoagulants is considered to be fundamental.http://dx.doi.org/10.1155/2015/459679
spellingShingle Nikolaos Tsagkas
George Valasoulis
Konstantinos Zikopoulos
Calliope Zerzi
Ioannis Mitselos
Ioannis Koutoulakis
Nikolaos Tzampouras
Theodor Stefos
Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive Technology
Case Reports in Obstetrics and Gynecology
title Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive Technology
title_full Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive Technology
title_fullStr Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive Technology
title_full_unstemmed Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive Technology
title_short Ascites in the Puerperium in the Context of a Woman with Turner Syndrome Who Conceived through Assisted Reproductive Technology
title_sort ascites in the puerperium in the context of a woman with turner syndrome who conceived through assisted reproductive technology
url http://dx.doi.org/10.1155/2015/459679
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