Korean J Radiol.  2005 Mar;6(1):44-46. 10.3348/kjr.2005.6.1.44.

MR Imaging of Pregnancy Luteoma: a Case Report and Correlation with the Clinical Features

• Kao HW
• Wu CJ
• Chung KT
• Wang SR
• Chen CY

• KMID: 1783173
• DOI: http://doi.org/10.3348/kjr.2005.6.1.44

Abstract

We report here on a 26-year-old pregnant female who developed hirsutism and virilization during her third trimester along with a significantly elevated serum testosterone level. Abdominal US and MR imaging studies were performed, and they showed unique imaging features that may suggest the diagnosis of pregnancy luteoma in the clinical context. After the delivery, the serum testosterone level continued to decrease, and it returned to normal three weeks postpartum. The follow-up imaging findings were closely correlated with the clinical presentation.

Keyword

Ovary, MR; Ovary, neoplasms; Pregnancy; Pregnancy, MR

MeSH Terms

Adult
Contrast Media
Diagnosis, Differential
Female
Gadolinium DTPA/diagnostic use
Hirsutism/etiology
Humans
Luteoma/complications/*diagnosis
Magnetic Resonance Imaging
Ovarian Neoplasms/complications/*diagnosis
Pregnancy
Pregnancy Complications, Neoplastic/*diagnosis
Pregnancy Outcome
Ultrasonography, Prenatal
Virilism/etiology

Figure

• 

  Fig. 1 Pregnancy luteoma. The peripheral-located multinodular ovarian masses (arrowheads) show intermediate high signal intensity on the coronal T1-weighted image (A, 101/4/1 [repetition time/echo time/excitation]), low signal intensity on the T2-weighted image (B, 4/90/1), and avid enhancement on the Gd-DTPA enhanced T1-weighted image (C, 101/4/1). Three weeks postpartum, the coronal Gd-DTPA enhanced T1-weighted image (D) show the greatly diminished size of the enhancing ovarian masses, although the ovaries (arrowheads) remain large.

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