Also her liver transaminases showed a decreasing trend and came back to normal, her hemoglobin level also improved to normal without any transfusion or iron supplementation, and above all the color of the ascitic fluid reverted to straw colored.
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An unusually prolonged course of late onset severe OHSS with successful outcome - a rare but avoidable complication.
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The sentences
Transaminitis showed an increasing trend with advancing gestation, along with leucocytosis raised the suspicion of sepsis, portal hypertension and iatrogenic liver injury as the cause.