Hyperreactio luteinalis in a woman with high-risk factors. A case report.
BACKGROUND
Hyperreactio luteinalis is a rare condition characterized by multicystic and bilateral ovarian enlargement associated with high maternal human chorionic gonadotropin serum levels.


METHODS
A case of spontaneous twin pregnancy, polycystic kidney and thyrotoxicosis was treated conservatively.


CONCLUSIONS
In this case, hyperreactio luteinalis was associated with twin pregnancy in a woman with preexisting renal failure. The association of other endocrinopathies, such as hyperthyroidism and diabetes mellitus, creates a clinical problem that could be quite hazardous in pregnancy if this association is not detected.
Coccia
Maria Elisabetta
ME
Department of Gynecology, Perinatology and Human Reproduction, University of Florence, Viale Morgagni, 85, 50134 Florence, Italy. cocciame@tin.it
Pasquini
Lucia
L
Comparetto
Cino
C
Scarselli
Gianfranco
G
D000328:Adult; D002585:Cesarean Section; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications / Q000175:diagnosis*; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011272:Pregnancy, Multiple; D011295:Prenatal Care; D013971:Thyrotoxicosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014427:Twins; D016216:Ultrasonography, Prenatal / Q000379:methods