Ovarian hyperplasia

Case contributed by Dr Paresh K Desai

Presentation

Acute abdominal distension.

Patient Data

Age: 25
Gender: Female
Ultrasound

Sonography revealed enlarged ovaries with multiple cysts within and increased echogenic stroma. No focal lesion was detected in either ovary. Ascites and minimal pleural effusion was also found. There was no history of infertility treatment.

Case Discussion

Considering the imaging findings and the acute clinical condition a possible diagnosis of spontaneous ovarian hyperstimulation was given. The gynecologists considered an alternate diagnosis of bilateral ovarian tumors. The alpha feto protein, HCG, LDH, CA-125 levels were normal. Patient underwent laparotomy with a high clinical suspicion of malignancy. Ovarian biopsy revealed edema and stromal hyperplasia. This condition is also called ovarian hyperthecosis when luteinised theca cells seen in stroma.

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Case information

rID: 36247
Case created: 24th Apr 2015
Last edited: 3rd Dec 2015
System: Gynaecology
Inclusion in quiz mode: Included

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