Radiological Case: Hyperreactio Luteinalis With Partial Molar Pregnancy

Sheeza Imtiaz, MBBS, FCPS


Appl Radiol. 2017;46(1) 

In This Article

Imaging Findings

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.

The patient was referred to the obstetrics and gynecology department for further management, where dilatation and curettage (D&C) was performed along with serial beta HCG levels, which were markedly raised. The patient was then managed accordingly.