Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report

Touch-me-not: Hyperreactio luteinalis during caesarean delivery of a spontaneously conceived singleton term pregnancy with chronic hypertension: A case report

“…HL is usually an incidentally diagnosed condition, which is typically seen in the second and third trimesters of pregnancy in women at risk. [5][6][7] It is mostly asymptomatic unless complicated by torsion or rupture when it can present with acute abdomen. 6,8 It can also be associated with symptoms of maternal hirsutism or virilization, especially in females with PCOS.…”

“…[5][6][7] It is mostly asymptomatic unless complicated by torsion or rupture when it can present with acute abdomen. 6,8 It can also be associated with symptoms of maternal hirsutism or virilization, especially in females with PCOS. 9 However, virilization has been reported in only 25-30% pregnant women, 5,6 usually due to the increased levels of sex hormone binding globulin in pregnancy, which result in lower amounts of circulating free testosterone.…”

Hyperreactio luteinalis associated with fetal hyperandrogenism and cystic hygroma

“…Spontaneous regression is the rule, which occurs in the third trimester or within four to six months postpartum. 15 Inpatient management, including analgesic therapy and fluid substitution, may be required. 16 Ovarian suppression with oral contraceptives can be used to accelerate resolution, 1 with surgical therapy being reserved for complicated cases with bleeding, torsion, or rupture.…”

“…Most cases of HL can be managed conservatively. Spontaneous regression is the rule, which occurs in the third trimester or within four to six months postpartum 15 . Inpatient management, including analgesic therapy and fluid substitution, may be required 16 .…”

Hyperreactio luteinalis mit Zufallsbefund eines serösen Borderline-Tumor des Ovars FIGO IIIB im 3. Trimenon – Diagnostik, Therapie, Literaturrecherche

“…Weitere HL assoziierte Schwangerschaftskomplikationen sind die Präeklampsie (19 %), der Gestationsdiabetes (5 %) und eine intrauterine Wachstumsrestriktion (IUGR) von 32 % [8]. Fetale Fehlbildungen stehen ebenso in Assoziation mit erhöhten ß-hCG-Werten [10,40]. Bei Malinovski et al waren 3,4 % der Fallberichte betroffen [8].…”