Hyperreactio luteinalis following frozen embryo transfer managed by fetal reduction
- 2 March 2021
- journal article
- research article
- Published by BMJ in BMJ Case Reports
- Vol. 14 (3), e236455
- https://doi.org/10.1136/bcr-2020-236455
Abstract
We report a rare case of hyperreactio luteinalis (HL) which developed in association with triplet pregnancy in a 27-year-old woman who underwent assisted reproductive technology treatment for primary infertility. She had undergone frozen embryo transfer 2 months after ovarian retrieval. She presented in the first trimester with abdominal pain and distension associated with ovarian enlargement and did not respond to conservative management. Fetal reduction was done from triplets to twins which resulted in good symptomatic relief for the patient. Fetal reduction may be an effective approach in such situations when conservative strategies fail in HL.Keywords
This publication has 8 references indexed in Scilit:
- Hyperreactio luteinalis: timely diagnosis minimizes the risk of oophorectomy and alerts clinicians to the associated risk of placental insufficiencyEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 2014
- Fetal Reduction: 25 Years' ExperienceFetal Diagnosis and Therapy, 2014
- Fetal reduction for hyperreactio luteinalisFertility and Sterility, 2011
- Comparison between spontaneous ovarian hyperstimulation syndrome and hyperreactio luteinalisArchiv für Gynäkologie, 2004
- Clinical cure of severe, early onset preeclampsia with low molecular weight heparin therapy in primigravida with hyperreactio luteinalis and thrombophiliaHuman Reproduction, 2004
- Hyperreactio luteinalis despite the absence of a corpus luteum and suppressed serum follicle stimulating concentrations in a triplet pregnancy: Case reportHuman Reproduction, 2000
- Hyperreactio luteinalis differentiated from severe ovarian hyperstimulation syndrome in a spontaneously conceived pregnancyAmerican Journal of Obstetrics and Gynecology, 1997
- Hyperreactio luteinalis masquerading as an ovarian neoplasm in a triplet pregnancyEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1996