A Rare Presentation of the Syndrome of Inappropriate Antidiuretic Hormone in a 12-Year-Old Girl as the Initial Presentation of an Immature Ovarian Teratoma
| Autor: | W. Frederick Schwenk, Anoop Mohamed Iqbal |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
endocrine system
Pathology medicine.medical_specialty endocrine system diseases Exploratory laparotomy medicine.medical_treatment Salpingo-oophorectomy Immature Ovarian Teratoma Inappropriate ADH Syndrome 03 medical and health sciences 0302 clinical medicine Medicine Humans Ovarian Teratoma Child Ovarian Neoplasms 030219 obstetrics & reproductive medicine business.industry Ovary Teratoma Obstetrics and Gynecology General Medicine medicine.disease female genital diseases and pregnancy complications Abdominal mass Surgery Acute abdomen 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Immature teratoma Female medicine.symptom business Hyponatremia Tomography X-Ray Computed |
| Zdroj: | Journal of pediatric and adolescent gynecology. 31(1) |
| ISSN: | 1873-4332 |
| Popis: | Background Immature ovarian teratoma is very rare in childhood. We report on a 12-year-old girl with immature ovarian teratoma who presented initially with syndrome of inappropriate antidiuretic hormone. Case A 12-year-old girl presented with acute abdomen and distention. Initial laboratory tests showed hyponatremia (sodium, 123 mmol/L), that did not respond to fluid management. Computed tomography imaging showed a 15 cm × 9 cm × 20 cm mass in the right ovary with multifocal internal fat, and dystrophic calcifications. She underwent exploratory laparotomy with a right salpingo-oophorectomy, omentectomy, and peritoneal stripping. The pathology revealed metastatic immature teratoma. Hyponatremia resolved soon after the surgery. Summary and Conclusion Although a rare diagnosis, immature ovarian teratoma must be considered in a girl who presents with abdominal mass and hyponatremia. |
| Databáze: | OpenAIRE |
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