Hyperreactio luteinalis differentiated from severe ovarian hyperstimulation syndrome in a spontaneously conceived pregnancy.
The clinical presentation of hyperreactio luteinalis can mimic ovarian hyperstimulation. Historically, though, the former most often leads to unnecessary surgery whereas the latter is treated supportively. We present a case of a 32-year-old woman who was initially seen with markedly enlarged multicystic ovaries, ascites, and pleural effusions in the tenth week of a spontaneously conceived gestation. Despite a noniatrogenic cause, the patient received supportive management, as would be given with ovarian hyperstimulation syndrome. Making the distinction between hyperreactio luteinalis and ovarian hyperstimulation syndrome has important consequences for diagnosis and management.
Foulk
R A
RA
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.
Martin
M C
MC
Jerkins
G L
GL
Laros
R K
RK
D000328:Adult; D000735:Androstenedione / Q000097:blood; D001201:Ascites / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology; D006063:Chorionic Gonadotropin / Q000097:blood; D003937:Diagnosis, Differential; D004958:Estradiol / Q000097:blood; D005260:Female; D018495:Fluid Shifts / Q000502:physiology*; D006801:Humans; D010048:Ovarian Cysts / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D016471:Ovarian Hyperstimulation Syndrome / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D010053:Ovary / Q000000981:diagnostic imaging / Q000473:pathology; D010996:Pleural Effusion / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D012720:Severity of Illness Index; D013577:Syndrome; D013739:Testosterone / Q000097:blood; D014463:Ultrasonography
D006063:Chorionic Gonadotropin; D013739:Testosterone; D000735:Androstenedione; D004958:Estradiol