Rare cause of unexplained hypertension in an oligomenorrheic adolescent girl with adnexal mass: case report and review of literature

Authors

  • Ankita Sethi Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India
  • Vidushi Kulshrestha Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India
  • Seema Kaushal Department of Pathology, AIIMS, New Delhi, India
  • Neerja Bhatla Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20213879

Keywords:

Adolescent, Ovarian mass, Hypertension, Steroid cell tumour

Abstract

A 17-year-old girl with oligomenorrhoea was detected to have hypertension and right adnexal solid-cystic mass, 6×8 cm on ultrasound. Hormone profile was normal, CA-125 was 132.5 U/mL, other tumour markers were in normal range; though RMI-4 and ROMA index suggested malignancy. Patient underwent exploratory laparotomy, peritoneal wash cytology, right salpingo-oophorectomy, pelvic lymphadenectomy and omental biopsy. Intraoperative frozen-section revealed ovarian steroid cell tumour. Later, steroid cell tumour-not otherwise specified (SCT-NOS) was confirmed on histopathology and immunohistochemistry. When followed three months post-surgery, patient had resumed 30-32 days menstrual-cycle, and she was normotensive without medications. This case is being reported to emphasize that imaging though not recommended for evaluation of PCOS in adolescence; and measuring blood-pressure which is often skipped in young women; proved crucial in this patient.

Author Biographies

Ankita Sethi, Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India

Senior Resident, DM Reproductive Medicine, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences

Vidushi Kulshrestha, Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India

Associate Professor, Department of Obstetrics and gynaecology

References

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Published

2021-09-27

Issue

Section

Case Reports