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Bilateral pregnancy luteoma: a case report.
Annu Nanda1, Uday A Gokhale1, G Rajasekharan Pillai1
1Sultan Qaboos Hospital, Salalah, Sultanate of Oman.
Oman Medical Journal
|October 23, 2014
Summary
Pregnancy luteoma, a benign ovarian condition, can be mistaken for malignancy. Accurate diagnosis during cesarean sections is crucial for maternal and fetal well-being, preventing unnecessary surgical interventions.
Area of Science:
- Reproductive Endocrinology
- Gynecologic Pathology
Background:
- Pregnancy luteoma is a rare, benign ovarian tumor that occurs exclusively during pregnancy.
- It is often asymptomatic and discovered incidentally during obstetric or gynecologic procedures.
- Distinguishing luteoma from ovarian malignancy is critical to avoid overtreatment.
Observation:
- A case of bilateral enlarged ovaries was identified in a pregnant patient during an emergency cesarean section.
- The ovarian masses were discovered incidentally during the surgical procedure.
Findings:
- The bilateral enlarged ovaries were diagnosed as pregnancy luteoma, a non-neoplastic lesion.
- Histopathological examination confirmed the benign nature of the ovarian masses.
Implications:
- Accurate prenatal or intraoperative diagnosis of pregnancy luteoma is essential.
- Avoiding misdiagnosis prevents unnecessary surgical interventions, preserving ovarian function and reducing maternal/fetal risks.
- This case highlights the importance of considering benign conditions in the differential diagnosis of ovarian masses during pregnancy.
