A Case of Spontaneously Regressed Hyperreactio Luteinalis Occurred in Normal Pregnancy.

Hwang, Tae Woong; Lee, Byoung Jae; Baek, Dong Hoon; Han, Myoung Seok; Cha, Moon Seok; Kim, Hyun Ho; Je, Goo Hwa

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(4):728-732.
Published online April 1, 2002.

A Case of Spontaneously Regressed Hyperreactio Luteinalis Occurred in Normal Pregnancy.

Tae Woong Hwang, Byoung Jae Lee, Dong Hoon Baek, Myoung Seok Han, Moon Seok Cha, Hyun Ho Kim, Goo Hwa Je

Department of Obstetrics and Gynecology, Dong-A University, College of Medicine, Busan, Korea.

Abstract

Hyperreactio luteinalis rarely occurs in normal single pregnancy. About 50 such cases have been published. It is usually occurs in trophoblastic disease. This case is a huge hyperreactio luteinalis that detected in gestational age 16 weeks. The patient delivered a normal female infant at 41th week of gestation without any mass related problems. The hyperreactio luteinalis was a benign condition in itself with normal spontaneous remission in two months after delivery. Also the level of elevated human chorionic gonadotropin became normal. The conservative management was appropriated. This case is noteworthy because it resulted in spontaneous regression without surgical intervention and conserved ovarian tissue.

Key Words: Hyperreactio luteinalis, Normal pregnancy, Spontaneous remission, Human chorionic gonado-tropin, Conservative management