Hyperreactio luteinalis after delivery: a case report and literature review

Area of Science:

• Reproductive Endocrinology
• Gynecologic Pathology
• Obstetrics

Background:

• Hyperreactio luteinalis (HL) involves bilateral, multicystic ovarian enlargement.
• This benign condition typically occurs during the third trimester of pregnancy or postpartum.
• HL is often self-limiting but can be misdiagnosed, leading to unnecessary surgical intervention.

Observation:

• A case of Hyperreactio luteinalis presented one week after delivery.
• The patient underwent ultrasound-guided ovarian tumor biopsy to exclude malignancy.
• The condition was observed without any specific therapeutic measures.

Findings:

• The patient's Hyperreactio luteinalis demonstrated spontaneous regression.
• No surgical or medical treatment was required for the ovarian enlargement.
• Diagnostic procedures confirmed the benign nature of the condition.

Implications:

• This case underscores the importance of conservative management for suspected Hyperreactio luteinalis.
• Accurate diagnosis can prevent unnecessary surgical procedures in postpartum patients.
• Understanding HL's natural course is crucial for appropriate clinical decision-making in obstetrics and gynecology.