Hanprasertpong Tharangrut, Hanpresertpong Jitti
Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
J Med Assoc Thai. 2013 Feb;96(2):239-42.
Reports of hyperreactio luteinalis in a spontaneously conceived pregnancy are uncommon. Hyperreactio luteinalis complicated by polyhydramnios without an identifiable cause has never been reported. The authors report a case of a 25-year-old, gravida 4, para 2-0-1-2, 16-week pregnant woman who presented with bilateral ovarian enlargement. The beta-human chorionic gonadotropin hormone was at a normal level. An exploratory laparotomy with biopsy was performed at 17 weeks of gestation. Polyhydramnios without an identifiable cause was detected at 30 weeks of gestation. A full-term healthy baby was delivered. Intrapartum and postpartum were unremarkable and both ovaries spontaneously regressed.
自然受孕妊娠中发生黄素化囊肿的报道并不常见。从未有过因羊水过多而并发无明确病因的黄素化囊肿的报道。作者报告了一例25岁、孕4产2-0-1-2、妊娠16周的孕妇,该孕妇出现双侧卵巢肿大。β-人绒毛膜促性腺激素水平正常。妊娠17周时进行了剖腹探查活检。妊娠30周时发现无明确病因的羊水过多。分娩出一名足月健康婴儿。产时和产后情况均无异常,双侧卵巢均自行消退。