An unusual case of asymptomatic hyperreactio luteinalis present at cesarean section of a spontaneous singleton pregnancy

• Main Authors: Ahmed M. Abbas, Esraa Talaat, Esraa Gamal, Armia Michael, Samuel Hanna, Mustafa Nasr Ali
• Format: Article
• Language: English
• Published: SpringerOpen 2017-06-01
• Series: Middle East Fertility Society Journal
• Subjects: Hyperreactio luteinalis; Pregnancy; Ovarian cysts; Cesarean section; Theca-lutein cysts
• Online Access: http://www.sciencedirect.com/science/article/pii/S1110569016301431

Hyperreactio Luteinalis (HL) is a benign self-limited pregnancy-related condition characterized by bilateral ovarian enlargement with multiple theca lutein cysts. It is commonly associated with gestational trophoblastic diseases and multiple pregnancy. We report a rare case of HL discovered accidentally during cesarean section (CS) of a spontaneously conceived normal singleton pregnancy. CS was performed due to fetal malpresentation and previously scarred uterus, and delivered a healthy male neonate. Expectant management was performed to permit conservation of both ovaries without unnecessary surgical intervention. The condition resolved within 6 weeks postpartum without adding morbidity to the patient.