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Rare disease
Case report
Hyperreactio luteinalis following frozen embryo transfer managed by fetal reduction
  1. Hema Rajesh1,
  2. Lalitha Natarajan2,
  3. Seetha Panicker3 and
  4. Srisaranya Mithraprabhu1
  1. 1Reproductive Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
  2. 2Fetal Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
  3. 3Obstetrics and Gynaecology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
  1. Correspondence to Dr Hema Rajesh; dr_hemarajesh{at}yahoo.co.in

Abstract

We report a rare case of hyperreactio luteinalis (HL) which developed in association with triplet pregnancy in a 27-year-old woman who underwent assisted reproductive technology treatment for primary infertility. She had undergone frozen embryo transfer 2 months after ovarian retrieval. She presented in the first trimester with abdominal pain and distension associated with ovarian enlargement and did not respond to conservative management. Fetal reduction was done from triplets to twins which resulted in good symptomatic relief for the patient. Fetal reduction may be an effective approach in such situations when conservative strategies fail in HL.

  • obstetrics
  • gynaecology and fertility
  • pregnancy
  • reproductive medicine

https://doi.org/10.1136/bcr-2020-236455

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    Footnotes

    • Contributors HR and LN were involved in conception and design, acquisition, analysis and interpretation of data. HR was involved in drafting the article and revising it critically for important intellectual content. SP and SM were also involved in revising the article for intellectual content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.