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Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report

Hyperreactio luteinalis (HL) is a rare entity in which both ovaries are multicystic and enlarged under the action of human chorionic gonadotropin (hCG), mostly seen in the third trimester of pregnancy. This benign condition is usually asymptomatic and doesn’t need any specific treatment, as the ovar...

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Autores principales: Halima, Sawssan Ben, Hakim, Hana, Kebaili, Sahbi, Jdidia, Nadia Ben, Trigui, Khaled, Chaabane, Kais
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363962/
https://www.ncbi.nlm.nih.gov/pubmed/34422198
http://dx.doi.org/10.11604/pamj.2021.39.75.29745
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author Halima, Sawssan Ben
Hakim, Hana
Kebaili, Sahbi
Jdidia, Nadia Ben
Trigui, Khaled
Chaabane, Kais
author_facet Halima, Sawssan Ben
Hakim, Hana
Kebaili, Sahbi
Jdidia, Nadia Ben
Trigui, Khaled
Chaabane, Kais
author_sort Halima, Sawssan Ben
collection PubMed
description Hyperreactio luteinalis (HL) is a rare entity in which both ovaries are multicystic and enlarged under the action of human chorionic gonadotropin (hCG), mostly seen in the third trimester of pregnancy. This benign condition is usually asymptomatic and doesn’t need any specific treatment, as the ovaries spontaneously reduce in size after birth. This is a case report of a 33-year-old woman diagnosed with hyperreactio luteinalis during the second trimester of her induced pregnancy. An ultrasound scan at 22 weeks of gestation revealed bilateral multicystic enlarged ovaries along with multiple fetal malformations and hydropsfetalis. Usually, HL is most commonly seen in situations in which there are high levels of hCG, but our patient had normal levels of hCG during all her pregnancy, which makes our case even rarer. In conclusion, the most important challenge when faced with HL is to differentiate between it and other differential diagnosis especially malignant tumors, because unlike them, this benign condition doesn’t need surgical treatment.
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spelling pubmed-83639622021-08-20 Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report Halima, Sawssan Ben Hakim, Hana Kebaili, Sahbi Jdidia, Nadia Ben Trigui, Khaled Chaabane, Kais Pan Afr Med J Case Report Hyperreactio luteinalis (HL) is a rare entity in which both ovaries are multicystic and enlarged under the action of human chorionic gonadotropin (hCG), mostly seen in the third trimester of pregnancy. This benign condition is usually asymptomatic and doesn’t need any specific treatment, as the ovaries spontaneously reduce in size after birth. This is a case report of a 33-year-old woman diagnosed with hyperreactio luteinalis during the second trimester of her induced pregnancy. An ultrasound scan at 22 weeks of gestation revealed bilateral multicystic enlarged ovaries along with multiple fetal malformations and hydropsfetalis. Usually, HL is most commonly seen in situations in which there are high levels of hCG, but our patient had normal levels of hCG during all her pregnancy, which makes our case even rarer. In conclusion, the most important challenge when faced with HL is to differentiate between it and other differential diagnosis especially malignant tumors, because unlike them, this benign condition doesn’t need surgical treatment. The African Field Epidemiology Network 2021-05-26 /pmc/articles/PMC8363962/ /pubmed/34422198 http://dx.doi.org/10.11604/pamj.2021.39.75.29745 Text en Copyright: Sawssan Ben Halima et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Halima, Sawssan Ben
Hakim, Hana
Kebaili, Sahbi
Jdidia, Nadia Ben
Trigui, Khaled
Chaabane, Kais
Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report
title Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report
title_full Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report
title_fullStr Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report
title_full_unstemmed Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report
title_short Hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hCG levels: a case report
title_sort hyperreactio luteinalis incidentally found in the second trimester of pregnancy with normal hcg levels: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363962/
https://www.ncbi.nlm.nih.gov/pubmed/34422198
http://dx.doi.org/10.11604/pamj.2021.39.75.29745
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