HL은 양성질환으로 보존적인 치료를 해야 하지만 외과적인 조작은 괴사된 조직의 제거나 복강내 출혈 혹은 지나친 모체의 남성화 발생시 시행하여야 한다. 저자들은 임신 11주에 심한 하복부 동통으로 내원하여 좌측 난소의 염전이 의심되어 우측난소 부분절제술과 좌측 난소 난관 완전절제술을 시행한 결과 난소의 HL로 진단받은 산모 1예를 보고하는 바이다.

Hyperreactio luteinalis is a rare disease characterized by marked cystic enlargement of the ovary due to multiple benign theca lutein cyst. The cause of this disease is not well known but is believed to be induced by high serum levels of human chorionic gonadotropins (hCG). It occurs usually in gestational trophoblastic disease, multiple pregnancies, and rarely in normal pregnancy. In nature, hyperreactio luteinalis is a benign condition. Therefore, the appropriate management is conservative, but surgical intervention is definitely indicated to remove infarcted tissue, control hemorrhage, or decrease androgen production in virilized patients. Here we report a case of hyperreactio luteinalis which was diagnosed at 11 weeks gestation. Lower abdominal pain was developed and progressed. Emergent right wedge oophorectomy and left salpingoophorectomy was performed due to probable torsion of left ovarian cyst and the pregnancy maintained. Theca lutein cysts were confirmed on pathologic examination.