Hyperreactio luteinalis with partial molar pregnancy
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A 22-year-old woman presented with complaints of mild vaginal bleeding, excessive nausea, and vomiting for the previous 2 weeks. She was married for 9 years and was Para 1+2 with a history of one intrauterine death. She had no history of induction of ovulation or use of oral contraceptives. Transvaginal ultrasound examination revealed uterine enlargement and the endometrial cavity was partially filled with cystic areas of increased echogenicity and typically showed snowstorm appearance. A fetus was seen corresponding to 10 weeks of gestation, but cardiac activity was not present. The sonographic findings were representing partial molar pregnancy. Both ovaries were significantly enlarged; the right one measured 14 × 10.2cm and the left 10.7 × 6.6cm. Both ovaries were showing multiple enlarged cysts of varying sizes bilaterally. Some of the cysts showed fluid-fluid levels. These were suggestive of theca lutein cysts of pregnancy in both enlarged ovaries in association with the partial hydatidiform mole.

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