Abstract
Case report
We present here two patients with bilateral ovarian enlargement during the first trimester of pregnancy. We clinically diagnosed one case as spontaneous ovarian hyperstimulation syndrome and the other case as hyperreactio luteinalis.
Conclusion
It may be difficult to discriminate severe hyperreactio luteinalis in the first trimester from spontaneous ovarian hyperstimulation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abu-Louz SK, Ahmd AA, Swan RW (1997) Spontaneous ovarian hyperstimulation syndrome with pregnancy. Am J Obstet Gynecol 177:476–477
Akerman FM, Lei Z, Rao CV, Nakajima ST (2000) A case of spontaneous ovarian hyperstimulation syndrome with a potential mutation in the hCG/LH receptor gene. Fertil Steril 74:403–405
Ayhan A, Tuncer ZS, Aksu AT (1996) Ovarian hyperstimulation syndrome associated with spontaneous pregnancy. Human Reprod 11:1600–1601
Bradshaw KD, Santos-Ramos R, Rawlins SC, MacDonald PC, Parker CR Jr (1986) Endocrine studies in a pregnancy complicated by ovarian theca lutein cysts and hyperreactio luteinalis. Obstet Gynecol 1986:66S–69S
Cardoso CG, Graca LM, Dias T, Clode N, Soares L (1997) Spontaneous ovarian hyperstimulation syndrome and primary hypothyroidism with a natural conceived pregnancy. Obstet Gynecol 93:809–811
Check JH, Choe JK, Nazari A (2000) Hyperreactio luteinalis despite the absence of a corpus luteum and suppressed serum follicle stimulating concentrations in a triplet pregnancy. Human Reprod 15:1043–1045
Chen CP, Chen CW, Wang KG (1995) Spontaneous ovarian hyperstimulation syndrome and hyperprolactinemia in primary hypothyroidism. Acta Obstet Gynecol Scand 75:70–71
Foulk RA, Martin MC, Jerkins GL, Laros RK (1997) Hyperreactio luteinalis differentiated from severe ovarian hyperstimulation syndrome in a spontaneously conceived pregnancy. Am J Obstet Gynecol 176:1300–1304
Gnoth C, Halbe E, Freundl G (2003) Persistent ascites after ovarian hyperstimulation syndrome and administration of mifepristone (RU 486) for the termination of pregnancy. Arch Gynecol Obstet 268:65–68
Leis D, Richter K, Schmid K (1978) Spontaneous hyperstimulation of the ovaries with luteal cysts and ascites during a twin pregnancy—extreme cases of the syndrome of painful early pregnancy. Geburtshilfe Frauenheilkd 38:1085–1087
Ludwig M, Gembruch U, Bauer O, Dietrich K (1998) Ovarian hyperstimulation syndrome (OHSS) in a spontaneous pregnancy with fetal and placental triploidy: information about the general pathophysiology of OHSS. Hum Reprod 13:2082–2087
Muechler EK, Ficher J, Zongrone J (1987) Human chorionic gonadotropin, estriol, and testosterone changes in two pregnancies with hyperreactio luteinalis. Am J Obstet Gynecol 157:1126–1128
Smitz J, Camus M, Devroey P, Erard P, Wisanto A, Van Steirtegham AC (1990) Incidence of severe ovarian hyperstimulation syndrome after GnRH agonist/HMG superovulation for in vitro fertilization. Hum Reprod 7:933–937
Takeda T, Minekawa R, Makino M, Sugiyama T, Murata Y, Suehara N (2002) Hyperreactio luteinalis associated with severe twin-to-twin transfusion syndrome. Gynecol Obstet Invest 53:243–246
Tanaka Y, Yanagihara T, Ueta M, Hanaoka U, Kuno A, Kanenishi K, Yamashiro C, Ohnishi Y, Tanaka H, Hara K, Kushida Y, Kobayasi S, Hata T (2001) Acta Obstet Gynecol Scand 80:277–278
Wadja KJ, Lucas JG, Marsh WL (1989) Hyperreactio luteinalis. Arch Pathol Lab Med 44:430–440
Zalel Y (1998) Recurrent spontaneous ovarian hyperstimulation syndrome. Am J Obstet Gynecol 179:835–836
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Suzuki, S. Comparison between spontaneous ovarian hyperstimulation syndrome and hyperreactio luteinalis. Arch Gynecol Obstet 269, 227–229 (2004). https://doi.org/10.1007/s00404-003-0570-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-003-0570-1