Korean J Obstet Gynecol Search

CLOSE


Korean Journal of Obstetrics & Gynecology 1999;42(6):1351-1356.
Published online January 1, 2001.
Hyperreactio Luteinalis: a Case of Ovarian Resection.
S H Choi, G C Lee, S H Kim
Abstract
Hyperreactio luteinalis[HL] refers to bilateral cystic enlargement of the ovaries during pregnancy due to benign hyperplastic luteinization of ovarian theca cells probably as a consequence of elevated hCG production or abnormal ovarian response to hCG. It is usually associated with gestational trophoblastic disease, Rh immunization, and multifetal pregnancy. As its clinical course is benign, leading to postpartum spontaneous regression, conservative management reserving ovary is more appropriate except the cases in which ovarian resection is indicated to control hemorrhage or to remove infarcted tissue. However, maternal respiratory decompensation or fetal growth restriction due to huge cystic ovaries which do not respond to conservative management may require ovarian resection. We report a case of HL that was diagnosed initially at 14 weeks gestation, managed conservatively without clinical improvement, and required bilateral ovarian resection at 17 weeks gestation for the risk of fetal growth restriction from huge ovarian masses.
Key Words: Hyperreactio luteinalis[HL], HCG, Pregnancy, Fetal growth restriction, Ovarian resection


ABOUT
ARTICLE & TOPICS
Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES
POLICY
FOR CONTRIBUTORS
Editorial Office
4th Floor, 36 Gangnam-daero 132-gil, Gangnam-gu, Seoul 06044, Korea
Tel: +82-2-3445-2382    Fax: +82-2-3445-2440    E-mail: journal@ogscience.org                

Copyright © 2022 by Korean Society of Obstetrics and Gynecology.

Developed in M2PI

Close layer
prev next