HYPERREACTIO LUTEINALIS DIFFERENTIATED FROM SEVERE OVARIAN HYPERSTIMULATION SYNDROME IN A SPONTANEOUSLY CONCEIVED PREGNANCY

The clinical presentation of hyperreactio luteinalis can mimic ovarian hyperstimulation. Historically, though, the former most often leads t o unnecessary surgery whereas the latter is treated supportively. We p resent a case of a 32-year-old woman who was initially seen with marke dly enlarged multicystic ovaries, ascites, and pleural effusions in th e tenth week of a spontaneously conceived gestation. Despite a noniatr ogenic cause, the patient received supportive management, as would be given with ovarian hyperstimulation syndrome. Making the distinction b etween hyperreactio luteinalis and ovarian hyperstimulation syndrome h as important consequences for diagnosis and management.