Hyperreactio luteinalis – two accidental findings during cesarean section

Czech version

Authors: A. Schwandner ¹; M. Zámečník ²; P. Kaščák ¹
Authors‘ workplace: Gynekologicko-pôrodnícka klinika, Fakultná nemocnica Trenčín, prednosta a primár MUDr. P. Kaščák, PhD. ¹; Medirex Group Academy n. o., Bratislava, riaditeľ MUDr. P. Janega ²
Published in: Ceska Gynekol 2019; 84(6): 439-442
Category: Case Report

Overview

Objective: To present two cases of patients with hyperreactio luteinalis at the cesarean section.

Design: Case report.

Setting: Department of Obstetrics and Gynaecology, Hospital Trenčín; Medirex Group Academy n.o., Bratislava.

Case report: We report two cases of women with preeclampsia who we diagnosed with bilateral multi-cystic ovarian enlargement by chance during cesarean section. At both of them the level of human chorionic gonadotropin was above normal, one of the patients had medical history of ovarian serous borderline tumor and this pregnancy was multiple after in vitro fertilization and embryo transfer. Adnexectomy, resection of ovaries and biopsy were carried out. Histologically hyperreactio luteinalis was confirmed in both patients.

Conclusion: We discuss the necessity of surgical treatment, the authors want to emphasize the need for proper preoperative diagnosis and indication of conservative management of patients with hyperreactio luteinalis.

Keywords:

hyperreactio luteinalis – multicystic enlargement of ovaries – human chorionic gonadotropin

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