Abstract
To report a case of hyperreactio luteinalis diagnosed in pregnancy. Case report. Teaching hospital. A 30-year-old primigravida presenting with painful multicystic ovarian enlargement and subsequent virilizing features. Conservative management. Successful pregnancy resulting in the live birth of a female infant with no gross abnormalities. On investigation, she developed elevated serum androgen levels and had sonographically the characteristic "spoke wheel" appearance of hyperreactio luteinalis. The patient was managed symptomatically with normal outcomes and a return postnatally to before pregnancy features. An uncommon clinical presentation in obstetrics in which conservative management can result in good outcomes.
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