Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review
Background. Pregnancy luteomas are rare, benign, ovarian neoplasms resulting from increased androgenic activity during pregnancy. Often, they occur asymptomatically and are only diagnosed incidentally during imaging or surgery: cesarean section or postpartum tubal ligation. Most common symptoms asso...
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| Format: | Article |
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Wiley
2021-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2021/6695117 |
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| author | David Hamisi Mvunta Fatemazahra Amiji Mubina Suleiman Francisco Baraka Ikrah Abdallah Mabula Kazabula Peter J. T. Wangwe Furaha August |
| author_facet | David Hamisi Mvunta Fatemazahra Amiji Mubina Suleiman Francisco Baraka Ikrah Abdallah Mabula Kazabula Peter J. T. Wangwe Furaha August |
| author_sort | David Hamisi Mvunta |
| collection | DOAJ |
| description | Background. Pregnancy luteomas are rare, benign, ovarian neoplasms resulting from increased androgenic activity during pregnancy. Often, they occur asymptomatically and are only diagnosed incidentally during imaging or surgery: cesarean section or postpartum tubal ligation. Most common symptoms associated with pregnancy luteoma include acne, deepening of voice, hirsutism, and clitoromegaly. Most pregnancy luteomas regress spontaneously postpartum. Thus, the management of pregnancy luteomas depends on the clinical situation. Case. We report a case of 28-year-old gravida 2, para 1 who presented at 39+1 weeks of gestation with prolonged labor and delivered by emergency cesarean. Intraoperatively, a huge left ovarian mass was identified and resected, and tissue was sent for histopathology and a diagnosis of pregnancy luteoma was made after the pathological report. Conclusion. The present report emphasizes that pregnancy luteoma is a benign neoplasm and imprudent surgical intervention should be reserved. Proper imaging techniques, preferably MRI or ultrasonography that visualize the size of the ovary and reproductive hormonal profiles, would suffice for the diagnosis and management of pregnancy luteoma. |
| format | Article |
| id | doaj-art-c183d12c5aef40509b1d1e665ca7a1a2 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-c183d12c5aef40509b1d1e665ca7a1a22025-02-03T00:58:47ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922021-01-01202110.1155/2021/66951176695117Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature ReviewDavid Hamisi Mvunta0Fatemazahra Amiji1Mubina Suleiman2Francisco Baraka3Ikrah Abdallah4Mabula Kazabula5Peter J. T. Wangwe6Furaha August7Department of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, 9 United Nations Road, Upanga West, P.O. Box 65017, Dar es Salaam, TanzaniaDepartment of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, 9 United Nations Road, Upanga West, P.O. Box 65017, Dar es Salaam, TanzaniaDepartment of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, 9 United Nations Road, Upanga West, P.O. Box 65017, Dar es Salaam, TanzaniaDepartment of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, 9 United Nations Road, Upanga West, P.O. Box 65017, Dar es Salaam, TanzaniaDepartment of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, 9 United Nations Road, Upanga West, P.O. Box 65017, Dar es Salaam, TanzaniaDepartment of Obstetrics and Gynecology, Lugalo Military Hospital, P.O. Box 60126, Mwenge, Dar es Salaam, TanzaniaDepartment of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, 9 United Nations Road, Upanga West, P.O. Box 65017, Dar es Salaam, TanzaniaDepartment of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, 9 United Nations Road, Upanga West, P.O. Box 65017, Dar es Salaam, TanzaniaBackground. Pregnancy luteomas are rare, benign, ovarian neoplasms resulting from increased androgenic activity during pregnancy. Often, they occur asymptomatically and are only diagnosed incidentally during imaging or surgery: cesarean section or postpartum tubal ligation. Most common symptoms associated with pregnancy luteoma include acne, deepening of voice, hirsutism, and clitoromegaly. Most pregnancy luteomas regress spontaneously postpartum. Thus, the management of pregnancy luteomas depends on the clinical situation. Case. We report a case of 28-year-old gravida 2, para 1 who presented at 39+1 weeks of gestation with prolonged labor and delivered by emergency cesarean. Intraoperatively, a huge left ovarian mass was identified and resected, and tissue was sent for histopathology and a diagnosis of pregnancy luteoma was made after the pathological report. Conclusion. The present report emphasizes that pregnancy luteoma is a benign neoplasm and imprudent surgical intervention should be reserved. Proper imaging techniques, preferably MRI or ultrasonography that visualize the size of the ovary and reproductive hormonal profiles, would suffice for the diagnosis and management of pregnancy luteoma.http://dx.doi.org/10.1155/2021/6695117 |
| spellingShingle | David Hamisi Mvunta Fatemazahra Amiji Mubina Suleiman Francisco Baraka Ikrah Abdallah Mabula Kazabula Peter J. T. Wangwe Furaha August Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review Case Reports in Obstetrics and Gynecology |
| title | Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review |
| title_full | Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review |
| title_fullStr | Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review |
| title_full_unstemmed | Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review |
| title_short | Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review |
| title_sort | hirsutism caused by pregnancy luteoma in a low resource setting a case report and literature review |
| url | http://dx.doi.org/10.1155/2021/6695117 |
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