title: Theca lutein cysts and early onset severe preeclampsia.
abstract: Hyperreactio luteinalis (HL) is a rare condition that is characterized by bilateral ovarian enlargement and multiple thin walled cysts. Hypersensitivity of the ovary to circulating human chorionic gonadotropin (hCG) is playing the main role in pathophysiology. HL observed in cases where there is high serum ß-HCG levels, similarly to gestational trophoblastic disease, multiple pregnancies, hydrops fetalis and after fertiliy treatment. Most of HL are self limiting condition and patients are asymptomatic. Differentiation from ovarian malignancies is important. This is a case report of severe preeclampsia prior to 20 weeks gestation due to hyperreactio luteinalis.
authors.affiliation: Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Sargin
authors.affiliation: Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
authors.forename: Niyazi
authors.initials: N
authors.lastname: Tug
authors.affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Research and Training Hospital, Istanbul, Turkey.
authors.forename: Ozgur Aydin
authors.initials: OA
authors.lastname: Tosun
authors.affiliation: Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Yassa
authors.affiliation: Department of Obstetrics and Gynecology, Sincan State Hospital, Ankara, Turkey.
authors.forename: Evrim
authors.initials: E
authors.lastname: Bostanci
mesh_terms: D000328:Adult; D006063:Chorionic Gonadotropin / Q000378:metabolism; D005260:Female; D006801:Humans; D008184:Luteal Cells / Q000473:pathology; D010048:Ovarian Cysts / Q000150:complications / Q000175:diagnosis*; D011225:Pre-Eclampsia / Q000209:etiology* / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000473:pathology; D012720:Severity of Illness Index
chemical_list: D006063:Chorionic Gonadotropin
keywords: Hydrops fetalis; hyperreactio luteinalis; severe preeclampsia