Case presentation A 39-year-old woman presented to a fertility clinic with new-onset abdominal distention, worsening bilateral lower extremity edema, shortness of breath, weight gain of 5 kg over three days, nausea, and significantly worsening kidney function. Medical history A 36-year history of diabetes mellitus type 1 intricated by retinopathy Stage 4 proteinuric Chronic Kidney Disease ( CKD ) presumed Hypertension Daily medications: Amlodipine 10 mg and terazosin 1 mg twice daily Clinical investigation Four days ago, the woman had undergone egg retrieval for in vitro fertilization.
She was given recombinant follicle-stimulating hormone and recombinant luteinizing hormone for ovarian stimulation before egg retrieval. She also received buserelin, a gonadotropin-releasing hormone agonist for preventing a premature luteinizing hormone surge, and human chorionic gonadotropin for…
