A 23-yr-old female presents to the emergency department with complaint of abdominal swelling,
nausea, and loss of appetite 24hrs after a procedure of oocyte retrieval, having undergone controlled
ovarian stimulation. There is no history of trauma. Patient’s vitals were stable. Repeat hemoglobin did
not show any change. The images are transverse and longitudinal B-mode images. What is the most
Image courtesy Dr. Dagnechew Degefu
What is the most likely diagnosis?
A. Ovarian hyperstimulation syndrome
B. Malignant ascites
C. Massive intraperitoneal hemorrhage
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