Pregnancy in chronic renal failure: a novel cause of theca lutein cysts at MRI.
We describe the MRI findings of bilateral ovarian theca lutein cysts in a pregnant patient with chronic renal failure. The recognition that pregnancy in chronic renal failure may result in theca lutein cysts, presumably due to excessive serum beta human chorionic gonadotropins (hCGs) secondary to impaired renal excretion, expands the differential diagnosis for this MRI appearance, in addition to the usual considerations of gestational trophoblastic disease, multiple gestation, and ovarian hyperstimulation.
Chen
Eric M
EM
Department of Radiology, University of California, San Francisco, San Francisco, California 94143-0628, USA.
Breiman
Richard S
RS
Sollitto
Richard A
RA
Coakley
Fergus V
FV
D000022:Abortion, Spontaneous; D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008184:Luteal Cells / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D010048:Ovarian Cysts / Q000175:diagnosis* / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D013799:Theca Cells / Q000473:pathology*