Ovarian hyperplasia

Case contributed by Paresh K Desai , 24 Apr 2015
Diagnosis certain
Changed by Praveen Jha, 9 Sep 2015

Updates to Case Attributes

Diagnostic Certainty was set to .
Gender was set to Female.
Age was set to 25.
Presentation was added:
Acute abdominal distension.
Body was added:

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.

  • +<p>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.</p>

Updates to Study Attributes

Findings was changed:

Enlarged ovary 25 year old obese female with acute abdominal distension presented for abdominal 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 h/o any infertility treatment. 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.

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