Open AccessHYPERREACTIO LUTEINALIS IN A NORMAL SINGLETON PREGNANCY: A CASE REPORT
Author(s) -
João Eduardo Andrade Tavares de Aguiar,
Alessandra Aleixo Albuquerque,
Marcos Antônio Lima Carvalho,
Artime Alves Costa,
Bárbara Rhayane Santos,
Marcella Andrade Tavares de Aguiar,
Mariana Cunha de Sousa,
Júlia Maria Gonçalves Dias
Publication year - 2021
Publication title -
brazilian journals of development
Language(s) - English
DOI - 10.34117/bjdv7n5-472
Subject(s) - medicine , pregnancy , obstetrics , gynecology , hyperandrogenism , biopsy , radiology , pathology , polycystic ovary , insulin resistance , genetics , biology , obesity
Hyperreactio luteinalis (HL) is a very rare and benign condition related to pregnancy, in which there is a massive and functional increase in ovaries, occupied by multiple benign theca lutein cysts. It generally does not affect pregnancy course and can be observed and diagnosed incidentally in third trimester. The cysts and, consequently, the ovaries regress spontaneously after delivery due to decrease in hCG. This report describes a case of HL in a 29-year-old primiparous woman with dyspnea, pelvic pain and clinical signs of hyperandrogenism, with the ovaries enlarged on transvaginal ultrasound. The conduct was expectant and, during delivery, a biopsy was performed, which confirmed the diagnosis. The knowledge of benign and self-limited disease defends a conservative treatment and helps in differentiation between HL and other malignant diseases. It is, therefore, essential that obstetricians are familiar with HL to guide the correct management and avoid unnecessary iatrogenic procedures.