Continuous transabdominal drainage of ascites for management of hyperreactio luteinalis with massive ascites

Abstract

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.

Keywords

• hyperreactio luteinalis
• ascites
• transabdominal drainage