Kurakula Sowjanya, Muralidharan Vandana, Chengappa Appaneravanda Lohith, N Navya, K B Gayathri
Obstetrics and Gynecology, Gandhi Medical College, Musheerabad, IND.
Obstetrics and Gynecology, Sekgoma Memorial Hospital, Serowe, BWA.
Cureus. 2022 Sep 29;14(9):e29758. doi: 10.7759/cureus.29758. eCollection 2022 Sep.
Hyperreactio luteinalis is a rare condition characterized by the presence of bilateral theca lutein cysts, which occur rarely in a singleton normal pregnancy. Bilateral multicystic ovarian enlargement occurs due to elevated beta-human chorionic gonadotropin. We present a rare case of a 23-year-old primigravida in her tenth week of gestation, presenting with an acute abdomen, with increasing abdominal girth, diagnosed with a rupture of theca lutein cyst, and posted for laparotomy. Theca lutein cyst doesn't affect the course of pregnancy and has a spontaneous regression after delivery. Our case is different due to the occurrence of cysts in a singleton pregnancy and the rupture of these cysts during pregnancy. Unless complicated by torsion, rupture, or hemorrhage, most theca lutein cysts are managed conservatively.
黄素化囊肿过度反应是一种罕见病症，其特征为双侧卵泡膜黄素囊肿的存在，这种囊肿在单胎正常妊娠中很少见。双侧多囊卵巢增大是由于β-人绒毛膜促性腺激素升高所致。我们报告一例罕见病例，一名23岁初孕妇，妊娠10周，出现急腹症，腹围增大，诊断为卵泡膜黄素囊肿破裂，拟行剖腹手术。卵泡膜黄素囊肿不影响妊娠进程，产后会自然消退。我们的病例不同之处在于囊肿发生于单胎妊娠且在孕期破裂。除非并发扭转、破裂或出血，大多数卵泡膜黄素囊肿采取保守治疗。
