Cieľ práce: Prezentovať dva náhodné nálezy hyperreactio luteinalis u pacientok počas cisárskych rezov. Typ práce: Kazuistika. Názov a sídlo pracoviska: Gynekologicko-pôrodnícka klinika, Fakultná nemocnica Trenčín; Medirex Group Academy n.o., Bratislava. Kazuistika: Prezentujeme prípady dvoch žien s preeklampsiou, u ktorých sme náhodne diagnostikovali bilaterálne multicystické zväčšenie vaječníkov počas cisárskeho rezu. U oboch bola zvýšená hladina ľudského choriového gonadotropínu, jedna pacientka mala anamnézu serózneho borderline tumoru ovária a táto gravidita bola viacplodová po in vitro fertilizácii a embryotransfere. Vykonali sme adnexektómiu, resekciu ovária a biopsiu. Histologicky bolo popísané hyperreactio luteinalis u oboch pacientok. Záver: Diskutujeme nutnosť vykonanej operačnej liečby, autoria sa snažia poukázať na potrebu stanovenia predoperačnej diagnózy a indikáciu konzervatívneho manažmentu pacientky s hyperreactio luteinalis.

Objective: To present two cases of patients with hyperreactio luteinalis at the cesarean section. Design: Case report. Setting: Department of Obstetrics and Gynaecology, Hospital Trenčín; Medirex Group Academy n.o., Bratislava. Case report: We report two cases of women with preeclampsia who we diagnosed with bilateral multi-cystic ovarian enlargement by chance during cesarean section. At both of them the level of human chorionic gonadotropin was above normal, one of the patients had medical history of ovarian serous borderline tumor and this pregnancy was multiple after in vitro fertilization and embryo transfer. Adnexectomy, resection of ovaries and biopsy were carried out. Histologically hyperreactio luteinalis was confirmed in both patients. Conclusion: We discuss the necessity of surgical treatment, the authors want to emphasize the need for proper preoperative diagnosis and indication of conservative management of patients with hyperreactio luteinalis.

• Keywords
• hyperreactio luteinalis,
• MeSH
• Chorionic Gonadotropin MeSH
• Cesarean Section MeSH
• Adult MeSH
• Humans MeSH
• Young Adult MeSH
• Pregnancy Complications, Neoplastic MeSH
• Ovarian Neoplasms * diagnosis   physiopathology   therapy   MeSH
• Pregnancy MeSH
• Treatment Outcome MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Young Adult MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Adnexa Uteri surgery   MeSH
• Biopsy MeSH
• Chorionic Gonadotropin analysis   MeSH
• Cesarean Section MeSH
• Adult MeSH
• Histological Techniques MeSH
• Pregnancy Complications surgery   diagnosis   pathology   therapy   MeSH
• Laparotomy MeSH
• Humans MeSH
• Biomarkers, Tumor analysis   MeSH
• Ovarian Neoplasms * surgery   diagnosis   complications   pathology   therapy   MeSH
• Incidental Findings MeSH
• Pregnancy MeSH
• Ultrasonography MeSH
• Treatment Outcome MeSH
• Rare Diseases surgery   diagnosis   complications   pathology   therapy   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Case Reports MeSH
• Review MeSH

A case of a pregnant woman with bilateral cystic ovaries diagnosed in the 12th week of gestation is presented. The successful outcome of pregnancy with hyperreactio luteinalis, which spontaneously resolved in the 3rd trimester and the importance of a differential diagnosis of an abdominal mass during pregnancy to avoid unnecessary surgery is demonstrated.

• MeSH
• Diagnosis, Differential MeSH
• Adult MeSH
• Pregnancy Complications diagnosis   pathology   MeSH
• Humans MeSH
• Ovarian Cysts diagnosis   pathology   MeSH
• Pregnancy MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Case Reports MeSH

• MeSH
• Adult MeSH
• Humans MeSH
• Luteoma diagnosis   complications   therapy   MeSH
• Pregnancy Complications, Neoplastic diagnosis   physiopathology   MeSH
• Pregnancy Trimester, First MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Female MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Pleural Effusion, Malignant MeSH
• Lung Neoplasms MeSH
• Neoplasms diagnosis   MeSH

• Conspectus
• Patologie. Klinická medicína
• NML Fields
• onkologie

• MeSH
• Genital Neoplasms, Female genetics   classification   pathology   MeSH

• Conspectus
• Patologie. Klinická medicína

• MeSH
• Diagnosis, Differential MeSH
• Genital Diseases, Female * MeSH
• Genital Neoplasms, Female MeSH
• Publication type
• Atlas MeSH

• Conspectus
• Gynekologie. Porodnictví
• NML Fields
• gynekologie a porodnictví
• NML Publication type
• kolektivní monografie