Recurrent Bilateral Hyperreactio Luteinalis Associated with Singleton Pregnancy: A Case Report

Abstract

We aimed to report a case of conservatively managed recurrent bilateral theca lutein cysts associated with a singleton pregnancy. A 31-year-old woman with a singleton pregnancy, bilaterally multicystic adnexal mass and within the normal beta-hCG range was referred at 13-week pregnancy. She had a history of bilaterally enlarged ovaries up to 18 cm in her first pregnancy. Magnetic resonance imaging showed 112x142x136 mm right ovary and 197x118x242 mm left ovary at 21-week pregnancy. The right multicystic ovary resolved spontaneously during the third trimester. Thin-walled multicystic left ovarian cyst with clear serous fluid content without a solid component measured about 25x15x20 cm in size during cesarean section. Left ovarian cystectomy was performed. At the final pathology, normal morphological findings were detected in the left ovarian cyst. The follow up could be a reasonable choice in women with enlarged multicystic ovaries without malignant signs such as papillary, complex and/or solid structure.

Keywords

• hyperandrogenism,, hyperreactio luteinalis,pregnancy,theca lutein cyst

Tekil Gebelikte Ortaya Çıkan Tekrarlayan Bilateral Hiperreaksiyo Luteinalis: Olgu Sunumu

Abstract

Tekil bir gebelikle ilgili tekrarlayan ve konservatif yaklaşım gösterilen tekrarlayan bir bilateral teka lutein kisti vakasını sunmyaı amaçladık. 31 yaşında 13 haftalık gebeliği olan ve gebeliğe göre normal beta-hCG değerine sahip hasta bilateral multikistik adneksial kitle sebebiyle refere edildi. Hastanın hikayesinde ilk gebeliğinde bilateral overlerinin 18 cm’ye kadar ulaştığı bilgisi vardı. Manyetik rezonans görüntüleme 21. haftada sağ overin 112x142x136 mm olduğunu ve sol overin de 197x118x242 mm olduğunu gösterdi. Sağdaki multikistik yapı üçüncü trimesterde spontan resolve oldu. Sezaryen sırasında gözlenen sol overdeki solid komponent içermeyen ince duvarlı seröz içeriğe sahip multikistik yapı yaklaşık 25x15x20 cm boyutunda idi. Sol ovarian kistektomi yapıldı. Nihai patolojide sol ovarian kistte normal morfolojik bulgular izlendi. Papillarite, kompleks yapı veya solid yapılar gibi malign bulguların olmadığı kadınlarda takip mantıklı bir seçenek olabilir.

Keywords

• gebelik,hiperandrojenizm,hiperreaksiyo luteinalis,teka lutein kisti

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