title: Fetal reduction for hyperreactio luteinalis.
abstract: OBJECTIVE
  To present an unusual case of hyperreactio luteinalis and a comprehensive review of the recent literature. Hyperreactio luteinalis is a benign ovarian condition of pregnancy that at times becomes life threatening. The medical literature provides only case reports.
  
  
  METHODS
  Case report and systematic review of the literature.
  
  
  METHODS
  University Center.
  
  
  METHODS
  A multiparous woman with polycystic ovary syndrome who underwent ovarian stimulation with oral and injectable medications and conceived triplets. She presented at 10 weeks of pregnancy with hyperreactio luteinalis.
  
  
  METHODS
  Fetal reduction to singleton.
  
  
  METHODS
  Resolution of condition.
  
  
  RESULTS
  The condition resolved 6 weeks after fetal reduction. The patient delivered at term without further complications.
  
  
  CONCLUSIONS
  Our review showed that many unnecessary surgeries are performed to treat hyperreactio luteinalis. When feasible, fetal reduction may improve outcome and represents an effective approach that does not compromise maternal well-being or future fertility.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, and Division of Maternal-Fetal Medicine, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA. ldetti@uthsc.edu
authors.forename: Laura
authors.initials: L
authors.lastname: Detti
authors.forename: Owen P
authors.initials: OP
authors.lastname: Phillips
authors.forename: Michael
authors.initials: M
authors.lastname: Schneider
authors.forename: Lauren E
authors.initials: LE
authors.lastname: Lambrecht
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008184:Luteal Cells / Q000000981:diagnostic imaging; D008297:Male; D010048:Ovarian Cysts / Q000000981:diagnostic imaging* / Q000628:therapy; D011085:Polycystic Ovary Syndrome / Q000000981:diagnostic imaging / Q000628:therapy; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal / Q000379:methods*; D011272:Pregnancy, Multiple; D014310:Triplets; D014463:Ultrasonography