Fertility and sterility · 2008
Maternal virilization due to luteoma associated with delayed lactation.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Dahl Stephanie K, Thomas Michael A, Williams Daniel B, Robins Jared C
Аннотация
OBJECTIVE: To report on a patient with virilization during pregnancy who experienced delayed lactation secondary to elevated maternal androgens.
DESIGN: Case report and review of the literature.
SETTING: University hospital.
PATIENT(S): A 32-year-old pregnant woman presented with virilization at 32 weeks' gestation.
INTERVENTION(S): Laboratory evaluation, ultrasound examination, magnetic resonance imaging, cesarean section for fetal indication, nipple stimulation to facilitate lactation.
MAIN OUTCOME MEASURE(S): Case report.
RESULT(S): Postpartum normalization of serum T levels and patient ability to breastfeed exclusively after delayed initiation of lactation.
CONCLUSION(S): Maternal virilization during pregnancy is rare and is often due to androgen-secreting tumors that are benign. Therefore, careful evaluation of these patients is important to avoid inadvertent oophorectomy.
DESIGN: Case report and review of the literature.
SETTING: University hospital.
PATIENT(S): A 32-year-old pregnant woman presented with virilization at 32 weeks' gestation.
INTERVENTION(S): Laboratory evaluation, ultrasound examination, magnetic resonance imaging, cesarean section for fetal indication, nipple stimulation to facilitate lactation.
MAIN OUTCOME MEASURE(S): Case report.
RESULT(S): Postpartum normalization of serum T levels and patient ability to breastfeed exclusively after delayed initiation of lactation.
CONCLUSION(S): Maternal virilization during pregnancy is rare and is often due to androgen-secreting tumors that are benign. Therefore, careful evaluation of these patients is important to avoid inadvertent oophorectomy.