IMR Press / CEOG / Volume 47 / Issue 6 / DOI: 10.31083/j.ceog.2020.06.2090
Open Access Case Report
Continuous transabdominal drainage of ascites for management of hyperreactio luteinalis with massive ascites
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1 Department of Obstetrics and Gynecology, Research Institute of Clinical Medicine, Chonbuk National University Hospital, Jeonju, Republic of Korea
*Correspondence: (HEESUK CHAE)
Clin. Exp. Obstet. Gynecol. 2020, 47(6), 961–964;
Submitted: 19 March 2020 | Accepted: 1 June 2020 | Published: 15 December 2020
Copyright: © 2020 Chae Published by IMR Press
This is an open access article under the CC BY 4.0 license

Hyperreactio luteinalis (HL) is a rare benign condition complicating spontaneous pregnancy, characterized by bilateral enlarged multicystic ovaries associated with high human chorionic gonadotropin (hCG) levels and a hyperandrogenic state. We describe a case of HL presenting with massive ascites at 11 weeks’ gestational age. Continuous transabdominal drainage of ascites was performed over 43 days, and a total of 30 liters of ascitic fluid was drained. The patient’s condition improved substantially and she had an uneventful pregnancy course. This case report suggests that continuous transabdominal drainage of ascites for management of HL with massive ascites is safe and efficacious.

Hyperreactio luteinalis
Transabdominal drainage
Figure 1.
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