Hyperreactio luteinalis in a normal pregnancy: Sonographic and MRI findings

Ghossain, M.; Ruiz, Alain; Jacob, Denis; Sciot, C; Hugol, D.; Vadrot, D

doi:10.1002/jmri.1880080604

Cited by 43 publications

(26 citation statements)

References 6 publications

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“…4 Because larger cysts have an increased risk of torsion, rupture, and labor obstruction, close monitoring and sometimes surgery are necessary. 4,5 Hemorrhagic Cysts Hemorrhagic corpus luteum cysts can have a variety of sonographic appearances due to the changing appearance of the blood clot. Hemorrhagic cysts appear as predominantly anechoic masses that contain hypoechoic material within them (Figures 3 and 4).…”

Section: Cysts and More Cystsmentioning

confidence: 99%

“…It is thought to result from hypersensitivity of the ovary to circulating human chorionic gonadotropin (hCG), which may or may not be high (Figures 10 and 11). 5,8 Corpus luteum cyst in a 24 year-old woman at 19 weeks' gestation being scanned for fetal anomalies, with incidental note of a 4.5-cm left adnexal cyst. On MR imaging, this has the characteristics of a benign cyst, being thin walled, with fluid signal intensity on a T2-weighted image, and having no nodular elements.…”

Section: Masses Unique To Pregnancymentioning

confidence: 99%

Section: Masses Unique To Pregnancymentioning

confidence: 99%

“…5 The lesions usually spontaneously involute after delivery. 5 This condition can be seen in a normal pregnancy but has also been associated with polycystic ovary disease and triplet pregnancies (due to high levels of hCG). 5,[8][9][10] Clinical manifestations include maternal abdominal pain, excessive abdominal distention, abnormal liver function test results, respiratory difficulties, and hirsutism.…”

Section: Masses Unique To Pregnancymentioning

confidence: 99%

“…5,[8][9][10] Clinical manifestations include maternal abdominal pain, excessive abdominal distention, abnormal liver function test results, respiratory difficulties, and hirsutism. 5 Patients with this condition may also be asymptomatic. These lesions may be found incidentally during routine obstetric imaging or cesarean delivery.…”

Section: Masses Unique To Pregnancymentioning

confidence: 99%

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Imaging of Adnexal Masses in Pregnancy

Chiang

Levine

2004

J of Ultrasound Medicine

105

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Objective. To illustrate the imaging appearances of a variety of adnexal masses in pregnancy. Methods. Cases of adnexal masses in pregnancy were chosen to illustrate the appearance on ultrasonography and magnetic resonance imaging. Results. Adnexal masses in pregnancy have a wide spectrum of imaging characteristics and clinical manifestations. Sonography is important in diagnosing, monitoring, and determining the malignant potential of these masses. Common adnexal lesions seen in pregnancy include simple cysts, hemorrhagic cysts, leiomyomas, and hyperstimulated ovaries in patients who have undergone assisted fertility. Uncommon adnexal lesions specific to pregnancy include hyperreactio luteinalis, theca lutein cysts with moles, and luteomas. Adnexal masses associated with pain include ovarian torsion and heterotopic pregnancy. Adnexal lesions that are found incidentally include teratomas, endometriomas, hydrosalpinx, cystadenomas, and cystadenocarcinomas. When the diagnosis of the adnexal mass cannot be made on the basis of sonographic appearance alone, magnetic resonance imaging may help. Conclusions. Familiarity with the clinicopathologic and sonographic features of common and uncommon adnexal masses in pregnancy is important for diagnosis and treatment. Key words: magnetic resonance imaging; neoplasm; ovary; pregnancy; sonography.Received December 28, 2003, from Harvard Medical School (G.C.) dnexal masses in pregnancy have a wide spectrum of imaging characteristics and clinical manifestations. Between 1% and 2% of pregnant women will have an adnexal mass that is sonographically detected and is persistent, and 1% to 3% of these will be malignant. 1,2 Sonography is important in diagnosing, monitoring, and determining the malignant potential of these masses. Common adnexal lesions associated with pregnancy include simple cysts, hemorrhagic cysts, leiomyomas, and hyperstimulated ovaries in patients who have undergone assisted fertility. Uncommon adnexal lesions specific to pregnancy include hyperreactio luteinalis, theca lutein cysts with moles, and luteomas. Adnexal masses associated with pain include ovarian torsion and heterotopic pregnancy. Some adnexal entities are found incidentally, such as teratomas, endometriomas, hydrosalpinx, cystadenomas, and cystadenocarcinomas. Although the diagnosis of most adnexal pathologic conditions can be made on the basis of sonographic appearance alone, magnetic resonance (MR) imaging may help when the

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Section: Cysts and More Cystsmentioning

confidence: 99%

Section: Masses Unique To Pregnancymentioning

confidence: 99%

Section: Masses Unique To Pregnancymentioning

confidence: 99%

Section: Masses Unique To Pregnancymentioning

confidence: 99%

Section: Masses Unique To Pregnancymentioning

confidence: 99%

See 3 more Smart Citations

Imaging of Adnexal Masses in Pregnancy

Chiang

Levine

2004

J of Ultrasound Medicine

105

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Anatomy and physiology of the female pelvis: MR imaging revisited

Togashi

Nakai

Sugimura

2001

Magnetic Resonance Imaging

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This article reviews the normal anatomy of the female pelvis and focuses on uterine physiology, presenting the kinematics of the uterus that can be identified on ultrafast MR imaging. It also discusses the many facets of the junctional zone on MR imaging. Ultra-fast MR imaging seems to be a powerful tool for evaluating normal anatomy, physiology, and pathology of the uterus. J. Magn. Reson. Imaging 2001;13:842-849.

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Pregnancy in chronic renal failure: A novel cause of theca lutein cysts at MRI

Chen

Breiman

Sollitto

et al. 2007

Magnetic Resonance Imaging

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We describe the MRI findings of bilateral ovarian theca lutein cysts in a pregnant patient with chronic renal failure. The recognition that pregnancy in chronic renal failure may result in theca lutein cysts, presumably due to excessive serum beta human chorionic gonadotropins (hCGs) secondary to impaired renal excretion, expands the differential diagnosis for this MRI appearance, in addition to the usual considerations of gestational trophoblastic disease, multiple gestation, and ovarian hyperstimulation.

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Hyperreactio luteinalis in a normal pregnancy: Sonographic and MRI findings

Cited by 43 publications

References 6 publications

Imaging of Adnexal Masses in Pregnancy

Imaging of Adnexal Masses in Pregnancy

Anatomy and physiology of the female pelvis: MR imaging revisited

Pregnancy in chronic renal failure: A novel cause of theca lutein cysts at MRI

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