A 24 year old underweight woman presents to you with progressive abdominal discomfo, dyspnoea, nausea and vomiting. Abdominal examination revealed cystic enlargement of ovaries. Relevant investigations results are as follows: Hematocrit – 57% Total count – 25000 /mm3 RFT -Impaired LFT – Mildly impaired USG – Massive ascites Serum peak oestradiol- 9000 pg/ ml X ray chest – shows pulmonary oedema History revealed that she had polycystic ovarian disease (PCOD) and was on treatment for infeility. She had received an injection last week from her infeility specialist. What is your diagnosis?
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