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Published on: August 1, 2018
Hyponatremic-Hypertensive Syndrome in Ovarian Paraganglioma
Manish Kumar1, Aashima Dabas2, Vivek Manchanda3
1Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, New Delhi, India. Correspondence to: Dr Manish Kumar, Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, New Delhi, India. manishkp75@yahoo.com.
Background:
Hyponatremic-hypertensive syndrome (HHS) is characterized by combination of polyuria, polydipsia, hypertension, hyponatremia and hypokalemia in association with unilateral renal artery stenosis.
Case Characteristics:
A 10-year- old girl presented with polyuria, polydipsia, hypertension, hyponatremia, hypokalemia and proteinuria. Ultrasonography with doppler study revealed bilateral normal renal arteries. Completed tomography of abdomen detected a left adnexal mass, which was later confirmed as ovarian paraganglioma on histopathology.
Outcome:
After tumor excision, polyuria subsided and blood pressure normalized.
Message:
Hyponatremic-Hypertensive Syndrome does not always result from unilateral renal artery stenosis. High index of clinical suspicion with appropriate imaging technique may clinch rare endocrine causes of hypertension, like paraganglioma.
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