Theca-lutein cysts of the ovaries in the third trimester of pregnancy: a case report

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Abstract

Hyperreactio luteinalis is a rare condition characterized by ovarian enlargement due to multiple theca-lutein cysts and likely associated with elevated human chorionic gonadotropin (hCG) levels or an abnormal ovarian response to hCG [1]. Hyperreactio luteinalis is most often seen in conditions with elevated hCG levels, such as trophoblastic disease, multiple pregnancy, or nonimmune hydrops fetalis, but can also occur in normal singleton pregnancies [2]. This article presents a clinical case of large theca-lutein cysts that developed in the third trimester of pregnancy with a favorable outcome. During follow-up until delivery at 37-38 weeks, a progressive increase in the size of the ovarian cysts was noted. A partial resection of both ovaries was performed during a cesarean section. The postoperative period was uneventful, and a follow-up ultrasound two months later revealed complete regression of the theca-lutein cysts.

About the authors

Natalia V. Lebedeva

Privolzhsky Research Medical University

Author for correspondence.
Email: natali.lebedeva.72@mail.ru
ORCID iD: 0009-0009-8834-3019

Cand. Sci. (Med.), Associate Professor, Department of Obstetrics and Gynecology, Faculty of Continuous Professional Education

Russian Federation, Nizhny Novgorod

Olga I. Guseva

Privolzhsky Research Medical University

Email: alise52@yandex.ru
ORCID iD: 0009-0002-1241-7076

Dr. Sci. (Med.), Professor, Department of Obstetrics and Gynecology, Faculty of Continuous Professional Education

Russian Federation, Nizhny Novgorod

Yulia V. Morozova

Privolzhsky Research Medical University

Email: juliamorozova@list.ru
ORCID iD: 0000-0001-8850-5684
SPIN-code: 4490-5591

Cand. Sci. (Med.), Associate Professor, Department of Obstetrics and Gynecology

Russian Federation, Nizhny Novgorod

Nadezhda Y. Katkova

Privolzhsky Research Medical University

Email: katkova_nu@inbox.ru

Dr. Sci. (Med.), Professor, Department of Obstetrics and Gynecology, Faculty of Continuous Professional Education

Russian Federation, Nizhny Novgorod

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