Luteoma of Pregnancy: A Case Report

Luteoma of Pregnancy is a rare, non-neoplastic, tumor like lesion of ovary and have increased androgenic activity during pregnancy. Associated symptoms include Acne, Hair loss, Hirsutism, Clitoromegaly, Deepening of voice. Usually, it is asymptomatic condition and diagnosed incidentally during ANC scans or intraoperatively. Case: We report a case of 25-year-old, gravida 2, para 1 who presented at 21.4 weeks of gestation with complaint of right sided pain in lower abdomen. On Clinical examination, tenderness was present in right iliac fossa. Ultrasonography was suggestive of Live, intra-uterine, Dichorionic diamniotic Twin pregnancy with ovarian mass probably Luteoma of pregnancy. On detailed history taking, patient admitted that she has few hair growths around breast and chin, developed during present pregnancy. Serum testosterone levels were borderline high. On the basis of Clinical examination and investigations, diagnosis of Pregnancy Luteoma was made. As patient was asymptomatic, conservative treatment was given and further followed up till labor. At 32 weeks of gestation, due to preterm labor, decision to perform normal vaginal delivery was taken and twins delivered successfully. Conclusion: Detailed work-up of every adnexal mass in pregnancy should be done judiciously by using Ultrasonography, Doppler, tumor markers, hormonal assay and MRI if required to differentiate Luteoma of pregnancy from ovarian malignancy and to decide appropriate line of management accordingly.