HYPERREACTIO LUTEINALIS: A RATE ASSOCIATION

Ateeque Ahmed khan, Sasui Memon, Mukhtiar Ahmed Memon

Abstract


Abstract:

Hyperreactio luteinalis is rare condition in which there is marked cystic enlargement of ovaries due to theca lutein cysts and is mostly associated with multiple pregnancies, recurrent abortions, hydatidiform mole and choriocarcinoma. It is commonly related to elevated level of human beta-HCG. Radiological imaging is essential in diagnosis of hyperreactio luteinalis since its misinterpretation at laprotomy and erroneous histological diagnosis can result in unnecessary surgery. We present a case report of hyperreactio luteinalis in 35 years old gravida 4, para 0, referred to our department for contrast enhanced CT (CECT) scan of abdomen and pelvis by gynaecological unit. This case is presented for its rarity along with its clinical and radiological findings as well as literature review.


Full Text:

PDF

References


References:

Lalwani N, Patel S, Ha K Y, Shanbhogue AK, Nagar AM, Chintapalli KN et al . Miscellenous tumor like lesions of ovary: cross sectional imaging review. Br J Radiol 2012 ; 85(1013): 477-86.

Imtiaz S. hyperreactio leuteinalis with partial molar pregnancy. Applied Radiology.

Schnorr JA Jr, Miller H, Davis JR, Hatch K, Seeds J. Hyperreactio leuteinalis associated with pregnancy: A case report and review of literature. Am J Perinatol 1996; 13(2): 95-7.

Ghossain MA, Buy JN, Ruiz A, Jacob D, Sciot C, Hugol D et al. Hyperreactio leuteinalis in normal pregnancy: Sonographic and MRI findings. J Magn Reson Imaging. 1998; 8(6): 1203-6.

Masuyama H1 , Tateishi Y, Matsuta M, Hiramentrzu Y. Hyperreactio leuteinalis with both markedly elevated human chorionic gonadotropin levels and an imbalance of angiogenic factor subsequently developed severe early onset eclampsia.. Fertil and Steril. 2009 ; 92(1): 393.

Detti L, Phillips O, Schneider M, lambrecht L. Fetal reduction for hyperreactio leuteinalis. Fertil Steril Oct 2011; 96(4): 934-8.

Weerakkody Y etal. Theca leutein cyst. Radiopedia.

Skandhas A, Ravi V. hyperreactio leuteinalis: An often mistaken diagnosis. Indian J Radiol 2014 Jan-Mar ; 24(1): 84-6.

Wyda KJ, Lucas JG, Marsh WL Jr. Hyperreactio leuteinalis. Benign disorder masquerading as an ovarian neoplasm. Arch Pathol lab Med. 113(8): 921-5.

EL- Agwany A, Awad E. Hyperreactio leuteinalis, A great initiator on U/S: Is there relation with HELLP syndrome. Indian j Gynecol oncology (2016) 14:14 https://doi.org/10.1007/s40944-016-0041-9


Refbacks

  • There are currently no refbacks.


© Copyright PJR 2008-