To determine the diagnosis, consider the clinical context and symptoms: A lady on treatment for infertility developed ascites, abdominal pain, and dyspnea. Additionally, a pelvic ultrasound (USG) was performed. Evaluating these factors can guide us towards the most probable diagnosis.
One key point is the patient's infertility treatment, which often involves ovulation induction therapy. A known complication of such treatment is Ovarian Hyperstimulation Syndrome (OHSS).
OHSS is characterized by:
Ascites: Accumulation of fluid in the abdominal cavity.
Abdominal pain: Due to ovarian enlargement and fluid accumulation.
Dyspnea: Breathing difficulty caused by fluid shifting and pressure on the diaphragm.
In contrast, other options can be ruled out based on the clinical presentation:
Polycystic Ovary Syndrome (PCOS): Typically presents with irregular menstrual cycles, hirsutism, and does not commonly cause acute ascites and dyspnea.
Theca lutein cyst: Also associated with multiple pregnancies or gestational trophoblastic disease, but usually does not present acutely with dyspnea.
Mucinous cystadenoma: A type of ovarian tumor that can cause abdominal discomfort but not typically rapid-onset ascites and dyspnea as seen in OHSS.
Thus, the combination of infertility treatment and the acute onset of symptoms strongly suggests the diagnosis is Ovarian Hyperstimulation Syndrome (OHSS).
