Hyperreactio luteinalis in pregnancy

Abstract

Objective: To report a case of hyperreactio luteinalis diagnosed in pregnancy.

Design: Case report.

Setting: Teaching hospital.

Patient(s): A 30-year-old primigravida presenting with painful multicystic ovarian enlargement and subsequent virilizing features.

Intervention(s): Conservative management.

Main outcome measure(s): Successful pregnancy resulting in the live birth of a female infant with no gross abnormalities.

Result(s): On investigation, she developed elevated serum androgen levels and had sonographically the characteristic "spoke wheel" appearance of hyperreactio luteinalis. The patient was managed symptomatically with normal outcomes and a return postnatally to before pregnancy features.

Conclusion(s): An uncommon clinical presentation in obstetrics in which conservative management can result in good outcomes.