Hyponatremic-Hypertensive Syndrome in Ovarian Paraganglioma
Loading...
Date
2019-01
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Academy of Pediatrics
Abstract
Background: Hyponatremic-hypertensive syndrome (HHS) is characterized bycombination of polyuria, polydipsia, hypertension, hyponatremia and hypokalemia inassociation with unilateral renal artery stenosis. Case characteristics: A 10-year- old girlpresented with polyuria, polydipsia, hypertension, hyponatremia, hypokalemia andproteinuria. Ultrasonography with doppler study revealed bilateral normal renal arteries.Completed tomography of abdomen detected a left adnexal mass, which was laterconfirmed as ovarian paraganglioma on histopathology. Outcome: After tumor excision,polyuria subsided and blood pressure normalized. Message: Hyponatremic-HypertensiveSyndrome does not always result from unilateral renal artery stenosis. High index of clinicalsuspicion with appropriate imaging technique may clinch rare endocrine causes ofhypertension, like paraganglioma.
Description
Keywords
Citation
Kumar Manish, Dabas Aashima, Manchanda Vivek, Mahajan Nidhi, Mitra Kaustuv. Hyponatremic-Hypertensive Syndrome in Ovarian Paraganglioma. Indian Pediatrics. 2019 Jan; 56(1): 69-71