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Theca lutein cysts and early onset severe preeclampsia

Mehmet Akif Sargin
Niyazi Tug
Ozgur Aydin Tosun
Murat Yassa
Evrim Bostanci


Hyperreactio luteinalis (HL) is a rare condition that is characterized by bilateral ovarian enlargement and multiple thin walled cysts. Hypersensitivity of the ovary to circulating human chorionic gonadotropin (hCG) is playing the main role in pathophysiology. HL observed in cases where there is high serum ß-HCG levels, similarly to gestational trophoblastic disease, multiple pregnancies, hydrops fetalis and after fertiliy treatment. Most of HL are self limiting condition and patients are asymptomatic. Differentiation from ovarian malignancies is important. This is a case report of severe preeclampsia prior to 20 weeks gestation due to hyperreactio luteinalis.

Pan African Medical Journal 2016; 24

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eISSN: 1937-8688