Ovarian Lutein Cysts in Pregnancy

Three cases of theca lutein cysts associated with nonmolar pregnancies are presented and the literature reviewed. Of the 29 cases discussed, 7 occurred in patients with Rh sensitization, 6 in patients with multiple pregnancies and 16 in patients with apparently normal single pregnancies. The diagnos...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1973-09, Vol.42 (3), p.388-398
Hauptverfasser: CASPI, ELIAHU, SCHREYER, PETER, BUKOVSKY, JAN
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SCHREYER, PETER
BUKOVSKY, JAN
description Three cases of theca lutein cysts associated with nonmolar pregnancies are presented and the literature reviewed. Of the 29 cases discussed, 7 occurred in patients with Rh sensitization, 6 in patients with multiple pregnancies and 16 in patients with apparently normal single pregnancies. The diagnosis was made either during cesarean section, performed according to obstetric indications, during obstructed labor due to pelvic mass or, in some patients, with acute abdomen, pelvic pain and pelvic mass in the first or second trimester of pregnancy, during laparotomy. Excluding the 7 cases of hydrops due to Rh sensitization, 3 abnormal fetuses were found among the 22 pregnancies. Misinterpretation at laparotomy or erroneous histopathologic interpretations resulted in unnecessary major surgery in 10 of the 26 cases reviewed. When theca lutein cyst is diagnosed during pregnancy or labor, conservative treatment, including minimal intervention with the cystic ovaries, is advocated. The etiologic role of high levels of human chorionic gonadotrophin (HCG) in these cases is considered.
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subjects Adolescent
Adult
Blood Group Incompatibility
Cesarean Section
Choriocarcinoma - complications
Chorionic Gonadotropin - secretion
Congenital Abnormalities
Female
Humans
Hydatidiform Mole - complications
Infant, Newborn
Luteinizing Hormone - secretion
Male
Obstetric Labor Complications
Ovarian Neoplasms - complications
Ovarian Neoplasms - diagnosis
Pre-Eclampsia
Pregnancy
Pregnancy Complications
Pregnancy in Diabetics
Pregnancy, Multiple
Rh-Hr Blood-Group System
Thecoma - complications
Thecoma - diagnosis
Thecoma - pathology
title Ovarian Lutein Cysts in Pregnancy
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