{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:08:52Z","timestamp":1792012132446,"version":"4.4.0"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,3,14]],"date-time":"2017-03-14T00:00:00Z","timestamp":1489449600000},"content-version":"vor","delay-in-days":72,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Ovarian hyperstimulation syndrome (OHSS) is extremely rare in spontaneous pregnancies. Spontaneous OHSS can result from glycoprotein hormones stimulating follicle-stimulating hormone receptors (FSHR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We report a twin pregnancy in which ovarian torsion and hemoperitoneum complicating OHSS were treated with left adnexectomy and aspiration. The only trigger for spontaneous OHSS in this case was high levels of chorionic gonadotropin hormone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>\n                      Multiple pregnancy, gestational trophoblastic disease, primary hypothyroidism, thyroid-stimulating hormone\/gonadotropin-secreting adenomas, and mutations of the\n                      <jats:italic toggle=\"yes\">FSHR<\/jats:italic>\n                      gene may trigger spontaneous OHSS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Spontaneous OHSS should be included in the differential diagnosis of acute abdomen in pregnant women; if spontaneous OHSS is diagnosed, the etiology should be determined in order to focus the treatment and avoid future complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.03.014","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T14:15:22Z","timestamp":1489587322000},"page":"66-68","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":24,"title":["Ovarian torsion and spontaneous ovarian hyperstimulation syndrome in a twin pregnancy"],"prefix":"10.1097","volume":"34","author":[{"given":"N\u00faria Gil","family":"Navarro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma Garcia","family":"Grau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00edlvia Pina","family":"P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laia Ribot","family":"Luna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-16-20260114","doi-asserted-by":"crossref","first-page":"105","DOI":"10.3109\/09513590.2014.987229","article-title":"A case of ovarian torsion in a patient carrier of a FSH receptor gene mutation previously affected by spontaneous ovarian hyperstimulation syndrome","volume":"31","author":"Di Carlo","year":"2015","journal-title":"Gynecol. Endocrinol"},{"key":"R2-16-20260114","doi-asserted-by":"crossref","first-page":"66","DOI":"10.4103\/0974-1208.130870","article-title":"Laparoscopic detorsion for bilateral ovarian torsion in a singleton pregnancy with spontaneous ovarian hyperstimulation syndrome","volume":"7","author":"Munshi","year":"2014","journal-title":"J. Hum. Reprod. Sci"},{"key":"R3-16-20260114","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1080\/09513590902898213","article-title":"Ovarian hyperstimulation syndrome after spontaneous conception","volume":"25","author":"Lussiana","year":"2009","journal-title":"Gynecol. Endocrinol"},{"key":"R4-16-20260114","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.fertnstert.2009.12.076","article-title":"Spontaneous ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy","volume":"94","author":"Ahmed Kamel","year":"2010","journal-title":"Fertil. Steril"},{"key":"R5-16-20260114","doi-asserted-by":"crossref","first-page":"20","DOI":"10.4329\/wjr.v5.i1.20","article-title":"Spontaneous ovarian hyperstimulation syndrome and pituitary hyperplasia mimicking macroadenoma associated with primary hypothyroidism","volume":"5","author":"Kanza","year":"2013","journal-title":"World J. Radiol"},{"key":"R6-16-20260114","first-page":"1","article-title":"Spontaneous ovarian hyperstimulation syndrome \u2013 understanding the dilemma","volume":"20","author":"Dey","year":"2015","journal-title":"Gynecol. Endocrinol"},{"key":"R7-16-20260114","doi-asserted-by":"crossref","first-page":"158","DOI":"10.4103\/0974-1208.117164","article-title":"Case report on spontaneous ovarian hyperstimulation syndrome following natural conception associated with primary hypothyroidism","volume":"6","author":"Sridev","year":"2013","journal-title":"J. Hum. Reprod. Sci"},{"key":"R8-16-20260114","first-page":"217","article-title":"Radiological illustration of spontaneous ovarian hyperstimulation syndrome","volume":"28","author":"Mittal","year":"2015","journal-title":"Pol. J. Radiol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121730144X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121730144X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201734000-00016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:47:39Z","timestamp":1768398459000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201734000-00016"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2017.03.014","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}