Hyperreactio luteinalis: A clinical dilemma

Balasubramaniam, Seema; Pawar, Vishrabdha

doi:10.4103/kleuhsj.kleuhsj_182_18

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“…HL, also called theca lutein cyst, is a self-limited syndrome, with bilateral enlargement of ovaries, and is associated with theca lutein cysts and increased hCG levels, which is secreted by the trophoblast in first trimester, with a peak in the 9th week of gestation (highest average level of 100,000 IU/L) 2,8 . Estradiol and prolactin are suspected to play a role in the pathogenesis or maintenance of the disease 9 . In the present case, hCG levels were not abnormally high.…”

Section: Discussionmentioning

confidence: 99%

Hyperreactio Luteinalis in a Normal Singleton Pregnancy: A Case Report

Aguiar¹,

Albuquerque²,

Carvalho³

et al. 2021

bjdv

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Hyperreactio luteinalis (HL) is a very rare and benign condition related to pregnancy, in which there is a massive and functional increase in ovaries, occupied by multiple benign theca lutein cysts. It generally does not affect pregnancy course and can be observed and diagnosed incidentally in third trimester. The cysts and, consequently, the ovaries regress spontaneously after delivery due to decrease in hCG. This report describes a case of HL in a 29-year-old primiparous woman with dyspnea, pelvic pain and clinical signs of hyperandrogenism, with the ovaries enlarged on transvaginal ultrasound. The conduct was expectant and, during delivery, a biopsy was performed, which confirmed the diagnosis. The knowledge of benign and self-limited disease defends a conservative treatment and helps in differentiation between HL and other malignant diseases. It is, therefore, essential that obstetricians are familiar with HL to guide the correct management and avoid unnecessary iatrogenic procedures.

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Section: Discussionmentioning

confidence: 99%