Conservative Management of Hyperreactio Luteinalis: A Case Report

Hyperreactio luteinalis (HL) is characterized by bilaterally enlarged ovaries containing multiple self-limited theca lutein cysts and is usually associated with increased production of human chorionic gonadotropin in the presence of trophoblastic disease or multiple pregnancies. About 30 cases of HL...

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Veröffentlicht in:Journal of Nippon Medical School 2011, Vol.78(4), pp.241-245
Hauptverfasser: Abe, Takashi, Ono, Shuichi, Igarashi, Miwa, Akira, Shigeo, Watanabe, Atsushi, Takeshita, Toshiyuki
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container_end_page 245
container_issue 4
container_start_page 241
container_title Journal of Nippon Medical School
container_volume 78
creator Abe, Takashi
Ono, Shuichi
Igarashi, Miwa
Akira, Shigeo
Watanabe, Atsushi
Takeshita, Toshiyuki
description Hyperreactio luteinalis (HL) is characterized by bilaterally enlarged ovaries containing multiple self-limited theca lutein cysts and is usually associated with increased production of human chorionic gonadotropin in the presence of trophoblastic disease or multiple pregnancies. About 30 cases of HL have been reported in patients with normal singleton pregnancies, and most of these patients required surgical intervention during their first pregnancy because of ovarian torsion or to rule out of ovarian malignancy. However, the accurate diagnosis of HL by means of laboratory tests and magnetic resonance imaging and the exclusion of ovarian malignancy in asymptomatic pregnant woman may avoid unnecessary surgical intervention or termination of pregnancy. The present report describes case of HL in a woman with a normal singleton pregnancy in whom conservative management allowed the preservation of both ovaries.
doi_str_mv 10.1272/jnms.78.241
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subjects Adult
Female
FSH receptor
Humans
hyperandrogenism
Magnetic Resonance Imaging
OHSS
Ovarian Cysts - diagnostic imaging
Ovarian Cysts - pathology
Ovarian Cysts - therapy
Ovarian Diseases - diagnostic imaging
Ovarian Diseases - pathology
Ovarian Diseases - therapy
Pregnancy
Ultrasonography
title Conservative Management of Hyperreactio Luteinalis: A Case Report
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