Hyperreactio luteinalis associated with a normal singleton pregnancy / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 1092-1096, 2002.
Article
in Korean
| WPRIM
| ID: wpr-171438
ABSTRACT
Hyperreactio luteinalis is a rare disease characterized by marked cystic enlargement of the ovary due to multiple benign theca lutein cyst. The cause of this disease is not well known but is believed to be induced by high serum levels of human chorionic gonadotropins (hCG). It occurs usually in gestational trophoblastic disease, multiple pregnancies, and rarely in normal pregnancy. In nature, hyperreactio luteinalis is a benign condition. Therefore, the appropriate management is conservative, but surgical intervention is definitely indicated to remove infarcted tissue, control hemorrhage, or decrease androgen production in virilized patients. Here we report a case of hyperreactio luteinalis which was diagnosed at 11 weeks gestation. Lower abdominal pain was developed and progressed. Emergent right wedge oophorectomy and left salpingoophorectomy was performed due to probable torsion of left ovarian cyst and the pregnancy maintained. Theca lutein cysts were confirmed on pathologic examination.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ovarian Cysts
/
Ovary
/
Pregnancy, Multiple
/
Lutein
/
Ovariectomy
/
Abdominal Pain
/
Gestational Trophoblastic Disease
/
Rare Diseases
/
Chorionic Gonadotropin
/
Hemorrhage
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2002
Type:
Article
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