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Hyperreactio luteinalis in pregnancy
Christian Amoah1, Ahmed Yassin, Eimear Cockayne
1Department of Obstetrics and Gynaecology, The Royal Oldham Hospital, Oldham, United Kingdom. christian_amoah@yahoo.co.uk
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.
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