Spontaneous ovarian hyperstimulation syndrome and hyperreactio luteinalis are entities in continuum
Article first published online: 8 OCT 2004
Copyright © 2004 ISUOG. Published by John Wiley & Sons, Ltd.
Ultrasound in Obstetrics & Gynecology
Volume 24, Issue 6, pages 675–678, November 2004
How to Cite
Haimov-Kochman, R., Yanai, N., Yagel, S., Amsalem, H., Lavy, Y. and Hurwitz, A. (2004), Spontaneous ovarian hyperstimulation syndrome and hyperreactio luteinalis are entities in continuum. Ultrasound Obstet Gynecol, 24: 675–678. doi: 10.1002/uog.1759
- Issue published online: 1 NOV 2004
- Article first published online: 8 OCT 2004
- Manuscript Accepted: 29 JUL 2004
- hyperreactio luteinalis;
- ovarian hyperstimulation syndrome;
Hyperreactio luteinalis (HL) and spontaneous ovarian hyperstimulation syndrome (OHSS) are both rare conditions during pregnancy. The clinical presentation of HL and OHSS are comparable and both should be differentiated from ovarian carcinoma. We present a case of a 32-year-old woman who was initially seen with markedly enlarged multicystic ovaries and ascites in the 13th week of a spontaneously conceived pregnancy. Ultrasonographic follow-up and magnetic resonance imaging of the ovaries were employed in order to avoid exploratory laparotomy and rule out ovarian carcinoma. The patient received supportive therapy and delivered a healthy child at term. The increasing use of ultrasonography may lead to more frequent findings of multicystic ovaries in spontaneously conceived pregnancies. Making the distinction between HL and spontaneous OHSS in these cases may be difficult though clinically irrelevant as the approach to treatment is similar in both. Copyright © 2004 ISUOG. Published by John Wiley & Sons, Ltd.