Normal Pregnancy Associated with Hyperreactio Luteinalis (H.L.) : A Case Report

Abstract

A case of large theca lutein cysts associated with normal pregnancy is presented. The patient came to Siriraj Hospital with symptoms caused by abdominal mass during pregnancy at 14 weeks of gestation. Bilateral theca lutein cysts were suspected during laparotomy. Right salpingo-oophorectomy and left ovarian wedge resection were done. Histological finding confirmed the diagnosis to be hyperreactio luteinalis. After operation the patient went on a normal course of pregnancy. Elective Cesarean section was performed at 38 weeks of gestation and result in a normal female fetus. The etiology of theca lutein cyst in this case was unknown. (Thai J Obeset Gynaecol 1994;6:117-120.)