OBJECTIVE: To report a case of hyperreactio luteinalis diagnosed in pregnancy. DESIGN: Case report. SETTING: Teaching hospital. PATIENT(S): A 30-year-old primigravida presenting with painful multicystic ovarian enlargement and subsequent virilizing features. INTERVENTION(S): Conservative management. MAIN OUTCOME MEASURE(S): Successful pregnancy resulting in the live birth of a female infant with no gross abnormalities. RESULT(S): On investigation, she developed elevated serum androgen levels and had sonographically the characteristic "spoke wheel" appearance of hyperreactio luteinalis. The patient was managed symptomatically with normal outcomes and a return postnatally to before pregnancy features. CONCLUSION(S): An uncommon clinical presentation in obstetrics in which conservative management can result in good outcomes.
OBJECTIVE: To report a case of hyperreactio luteinalis diagnosed in pregnancy. DESIGN: Case report. SETTING: Teaching hospital. PATIENT(S): A 30-year-old primigravida presenting with painful multicystic ovarian enlargement and subsequent virilizing features. INTERVENTION(S): Conservative management. MAIN OUTCOME MEASURE(S): Successful pregnancy resulting in the live birth of a female infant with no gross abnormalities. RESULT(S): On investigation, she developed elevated serum androgen levels and had sonographically the characteristic "spoke wheel" appearance of hyperreactio luteinalis. The patient was managed symptomatically with normal outcomes and a return postnatally to before pregnancy features. CONCLUSION(S): An uncommon clinical presentation in obstetrics in which conservative management can result in good outcomes.
Authors: Alejandro Pérez Chaverri; Beatriz Elizabeth Aguilar Solis; Félix Domínguez Paulín; José Eugenio Guerra Cárdenas Journal: Case Rep Womens Health Date: 2018-12-29