1.Delayed postpartum regression of theca lutein cysts with maternal virilization: A case report
Sanghwa KIM ; Inha LEE ; Eunhyang PARK ; Yeo Jin RHEE ; Kyeongmin KIM ; Aminah Ibrahim ALJASSIM ; Joo Hyun PARK ; Jae Hoon LEE ; Bo Hyon YUN ; Seok Kyo SEO ; Sihyun CHO ; Young Sik CHOI ; Byung Seok LEE
Clinical and Experimental Reproductive Medicine 2021;48(4):380-384
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.
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