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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2014; 24(01): 84-86
DOI: 10.4103/0971-3026.130711
Abdominal Radiology

Hyperreactio luteinalis: An often mistaken diagnosis

Avni KP Skandhan
Department of Radiology, Malabar Institute of Medical Sciences, Malappuram, Kerala, India
,
Vandana Ravi
Department of Obstetrics and Gynaecology, Malabar Institute of Medical Sciences, Malappuram, Kerala, India
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Abstract

Hyperreactio luteinalis is a rare entity in which there is bilateral, benign, functional multicystic ovarian enlargement during pregnancy, which is most commonly seen in third trimester. This condition is usually innocuous and does not need any specific treatment. However, many a times, it is mistaken for ovarian malignancy and inadvertently operated upon. This is a case report of a 24-year-old female with a partial molar pregnancy associated with hyperreactio luteinalis who was followed up for regression of the same and normalization of beta human chorionic gonadotropin (hCG) levels.

Keywords

Beta human chorionic gonadotropin - hyper reactio luteinalis - ovarian hyperstimulation syndrome


Publication History

Article published online:
02 August 2021

© 2014. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Haq AN. Hyperreatio luteinalis assoicated with pregnancy induced hypertension. J Coll Physicians Surg Pak 2010;20:137-9.
  • 2 Hashmi HA, Tufail A. Hyperreatio luteinalis in association with molar pregnancy. Pak J Surg 2008;24:140-2.
  • 3 Mittal N, Mittal S, Dhadwal V, Swarupa PV. Hyper-reactio luteinalis associated with hypothyroidism. JK Science 2005;7:104-6.
  • 4 Foulk Ra, Martin MC, Jerkins GL, Laros RK. Hyperreactio luteinalis differentiated from severe ovarian hyperstimulation syndrome in a spontaneously conceived pregnancy. Am J Obstet Gynecol 1997;176:1300-2.
  • 5 Simsek Y, Celen S, Ustun Y, Danisman N, Bayramoglu H. Severe preeclampsia and fetal virilization in a spontaneous singleton pregnancy complicated by hyperreactio luteinalis. Eur Rev Med Pharmacol Sci 2012;16:118-21. Eur Rev Med Pharmacol Sci. 2012 Jan; 16 (1):118-21.
  • 6 Van Holsbeke C, Amant F, Veldman J, De Boodt A, Moerman P, Timmerman D. Hyperreactio luteinalis in a spontaneously conceived singleton pregnancy. Ultrasound Obstet Gynecol 2009;33:371-3.
  • 7 Abe T, Ono S, Igarashi M, Akira S, Watanabe A, Takeshita T. Conservative management of hyperreactio luteinalis: A case report. J Nippon Med Sch 2011;78:241-5.
  • 8 Takeuchi M, Matsuzaki K, Nishitani H. MR manifestations of hyperreactio luteinalis: Value of diffusion-weighted imaging in the differentiation from neoplastic lesions. Proc Intl Soc Mag Reson Med 2009;17:4143.
  • 9 Cho AR, Song TB, Kim HJ, Kim YH, Kim JW. Vaginal delivery in a spontaneously conceived singleton pregnancy complicated with hyperreactio luteinalis: A case report. J Womens Med 2011;4:53-6.
  • 10 Lynn KN, Steinkeler JA, Wilkins-Haug LE, Benson CB. Hyperreactio luteinalis (enlarged ovaries) during the second and third trimesters of pregnancy: Common clinical associations. J Ultrasound Med 2013;32:1285-9.