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Delayed postpartum regression of theca lutein cysts with maternal virilization: A case report

Authors
 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 
Citation
 Clinical and Experimental Reproductive Medicine, Vol.48(4) : 380-384, 2021-12 
Journal Title
Clinical and Experimental Reproductive Medicine
ISSN
 2233-8233 
Issue Date
2021-12
Keywords
Hyperandrogenism ; Hyperreactio luteinalis ; Ovarian torsion ; Theca lutein cyst ; Virilism
Abstract
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.
Files in This Item:
T202126257.pdf Download
DOI
10.5653/cerm.2021.04546
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sanghwa(김상화)
Park, Eunhyang(박은향) ORCID logo https://orcid.org/0000-0003-2658-5054
Park, Joo Hyun(박주현)
Seo, Seok Kyo(서석교) ORCID logo https://orcid.org/0000-0003-3404-0484
Yun, Bo Hyon(윤보현) ORCID logo https://orcid.org/0000-0001-5703-797X
Lee, Byung Seok(이병석) ORCID logo https://orcid.org/0000-0001-6001-2079
Lee, Inha(이인하) ORCID logo https://orcid.org/0000-0003-4869-6281
Lee, Jae Hoon(이재훈) ORCID logo https://orcid.org/0000-0003-4223-1395
Cho, Si Hyun(조시현) ORCID logo https://orcid.org/0000-0003-2718-6645
Choi, Young Sik(최영식) ORCID logo https://orcid.org/0000-0002-1157-4822
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190663
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