Obstructive uropathy as the etiology of renal failure in ovarian hyperstimulation syndrome.

OBJECTIVE: To make people aware that there is potential for obstructive uropathy to complicate ovarian hyperstimulation syndrome (OHSS) and cause renal impairment.

DESIGN: Case report.

SETTING: Hospital.

PATIENT(S): A 28-year-old Caucasian female presenting with acute severe OHSS.

INTERVENTION(S): Bilateral JJ stenting.

MAIN OUTCOME MEASURE(S): Resolution of renal impairment.

RESULT(S): Successful treatment of renal failure.

CONCLUSION(S): Patients with severe OHSS and renal impairment should be evaluated with renal ultrasound to rule out hydronephrosis and therefore an obstructive uropathy. Patients potentially at risk for such a complication from OHSS may include those with prior abdominal or pelvic surgery.