Hyperreactio Luteinalis in the Third Trimester Complicating Fetal Hydrops and Mirror Syndrome

Touch-me-not: Hyperreactio luteinalis during caesarean delivery of a spontaneously conceived singleton term pregnancy with chronic hypertension: A case report

“…HL is usually an incidentally diagnosed condition, which is typically seen in the second and third trimesters of pregnancy in women at risk. [5][6][7] It is mostly asymptomatic unless complicated by torsion or rupture when it can present with acute abdomen. 6,8 It can also be associated with symptoms of maternal hirsutism or virilization, especially in females with PCOS.…”

Hyperreactio luteinalis: benign disorder masquerading as an ovarian malignancy

“…1,5,6 HELPP syndrome (hemolysis, elevated liver enzymes and low platelet count) syndrome develops subsequently in complicated HL. 7 It can variably be asymptomatic or give rise to significant complications like ascites, torsion and rupture with intraabdominal bleeding.…”

“…[6][7][8][9] HL consist of many thin walled lutein cysts with large solid area which needs to be differentiated from mucinous cystadenoma which have less rounded locules with less solid component. 9,10 OHSS typically develops in early first trimester patients usually in those with ovulation induction which is often associated with ascites whereas HL develops later in pregnancy when levels of beta hCG are at maximum levels with no associated ascites.…”

“…When complications are detected during pregnancy, cyst aspiration may be done under ultrasonic guidance. 6 No surgery is indicated in HL unless it is important to remove infarcted tissue, control hemorrhage or diminish androgen production in virilized patients. 9 In our case bilateral oophorectomy was done due to hemorrhage and torsion of bilateral ovarian masses and suspicion of malignancy.…”