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Devasenathipathy Kandasamy¹, Rohan Malik¹, Rajni Sharma¹

¹From the Departments of Radiodiagnosis (D.K., M.J.) and Paediatrics (R.M., R.S.), All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India 110029.

|July 25, 2022

Summary

A pediatric case highlights the link between juvenile hypothyroidism and ovarian cysts in an 11-year-old girl presenting with abdominal distention. Early diagnosis and treatment of hypothyroidism are crucial for managing these complex presentations.

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Area of Science:

Pediatric Endocrinology
Reproductive Endocrinology
Medical Imaging

Background:

This case report focuses on an 11-year-old girl with a two-year history of painless abdominal distention.
The patient presented with early satiety and a palpable infraumbilical mass, alongside significant short stature and delayed pubertal hair development.

Observation:

Laboratory results revealed severe primary hypothyroidism with elevated thyroid-stimulating hormone (TSH) and suppressed triiodothyronine and thyroxine levels.
Abdominopelvic imaging demonstrated multiple large bilateral ovarian cysts.
Skeletal surveys indicated possible changes associated with hypothyroidism.

Findings:

The patient exhibited primary hypothyroidism, short stature, and bilateral ovarian cysts.
The hypothyroidism was treated with levothyroxine, leading to clinical improvement.

Implications:

This case underscores the importance of considering endocrine disorders, particularly hypothyroidism, in the differential diagnosis of abdominal masses and ovarian cysts in pediatric patients.
Early recognition and management of hypothyroidism are essential for addressing associated symptoms and potential complications, including ovarian abnormalities.