Hyperreactio luteinalis in pregnancy.

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.