Department of Obstetrics and Gynaecology, The Royal Oldham Hospital, Oldham, United Kingdom.
Fertil Steril. 2011 Jun;95(7):2429.e1-3. doi: 10.1016/j.fertnstert.2011.03.060. Epub 2011 Apr 16.
To report a case of hyperreactio luteinalis diagnosed in pregnancy.
Case report.
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.
报告一例妊娠黄体过度反应病例。
病例报告。
教学医院。
一名 30 岁初产妇，表现为疼痛性多囊卵巢增大，随后出现男性化特征。
保守治疗。
成功妊娠，分娩出一名女性婴儿，无明显异常。
经调查，她的血清雄激素水平升高，超声表现为黄体过度反应的典型“辐轮”外观。患者接受了对症治疗，结果良好，产后恢复至妊娠前状态。
这是一种在产科中不常见的临床表现，保守治疗可获得良好的结局。
