Delayed postpartum regression of theca lutein cysts with maternal virilization: A case report

Theca lutein cysts are rare, benign lesions responsible for gross cystic enlargement of both ovaries during pregnancy. This condition is also termed hyperreactio luteinalis. Elevated human chorionic gonadotropin (hCG) levels or states of hCG hypersensitivity seem to promote these changes, which in u...

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Published inClinical and experimental reproductive medicine Vol. 48; no. 4; pp. 380 - 384
Main Authors Kim, Sanghwa, Lee, Inha, Park, Eunhyang, Rhee, Yeo Jin, Kim, Kyeongmin, Aljassim, Aminah Ibrahim, Park, Joo Hyun, Lee, Jae Hoon, Yun, Bo Hyon, Seo, Seok Kyo, Cho, Sihyun, Choi, Young Sik, Lee, Byung Seok
Format Journal Article
LanguageKorean
Published 2021
Subjects
Hyperreactio luteinalis
Ovarian torsion
Virilism
Hyperandrogenism
Theca lutein cyst
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Summary:Theca lutein cysts are rare, benign lesions responsible for gross cystic enlargement of both ovaries during pregnancy. This condition is also termed hyperreactio luteinalis. Elevated human chorionic gonadotropin (hCG) levels or states of hCG hypersensitivity seem to promote these changes, which in up to 30% of patients produce clinical signs of hyperandrogenism. Given the self-limiting course of theca lutein cysts, which are subject to spontaneous postpartum resolution, conservative treatment is the mainstay of patient management. Described herein is a rare case of theca lutein cysts with maternal virilization that failed to regress by 9 months after childbirth. Surgical intervention was eventually undertaken, necessitated by adnexal torsion.
Bibliography:KISTI1.1003/JNL.JAKO202115059405688
ISSN:2233-8233
2233-8241