case_images: PMC10522418_01
case_images: T2-weighted images show bilateral ovarian enlargement, which looks like HL. MRI of the patient's pelvic at the gestational age of 19 weeks.
case_images: CRIOG2023-7352947.001.jpg
case_images: PMC10522418_01_CRIOG2023-7352947.001.jpg
case_images: fig1
case_images: Magnetic resonance imaging revealed no ascites, malignant findings, or torsion of the adnexal pedicle (Figure 1).
case_images: The transition of the hormone levels, hCG and LH from 24 weeks of gestation to postpartum period. The trend of hCG and LH.
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case_images: PMC10522418_01_CRIOG2023-7352947.002.jpg
case_images: fig2
case_images: In addition, a serum hCG level of 388,662 mIU/ml was detected, and the luteinizing hormone (LH) level was 50.1 IU/L (Figure 2).
case_images: The thickness was 42.2 mm. Placenta by ultrasonography at the gestational age of 25 weeks.
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case_images: fig3
case_images: Abdominal ultrasonography revealed a slightly swollen placenta (Figure 3).
case_images: The transition from 24 weeks gestation to postpartum period. The sFlt-1 level was very high at 24 weeks gestation and once gradually decreased but rapidly increased again. Immediately before delivery, the sFlt-1 level was maximum. All marker decreases rapidly after birth.
case_images: CRIOG2023-7352947.004.jpg
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case_images: fig4
case_images: Serum soluble fms-like tyrosine kinase-1 (sFlt-1) and placental growth factor (PlGF) levels were measured by means of electrochemiluminescence immunoassay platform (cobas e analyzers, Roche Diagnostics) and were 11,000 pg/mL and 42.1 pg/mL, respectively; the sFlt-1/PlGF ratio, which is associated with prediction of PE development, was remarkably high at 263.7 (Figure 4).
case_images: Long axis length of (a, b) ovary: 5 cm/9 cm.
case_images: CRIOG2023-7352947.005.jpg
case_images: PMC10522418_01_CRIOG2023-7352947.005.jpg
case_images: fig5
case_images: Intraoperative findings showed that the bilateral ovaries were polycystic and enlarged to 8 cm in diameter (Figure 5).