Wilms' tumor with polydipsia, polyuria, hyponatremic hypertension and congestive heart failure: a case report.
- Author:
Chul Hee WOO
1
;
Ji Min JANG
;
Chan Wook WOO
;
Ki Hyung LEE
;
Kwang Chul LEE
Author Information
- Publication Type:Case Report
- Keywords: Wilms' tumor; Hypertension; Congestive heart failure; Hyperreninemia
- MeSH: Aldosterone; Antihypertensive Agents; Blood Pressure; Child, Preschool; Estrogens, Conjugated (USP)*; Female; Heart Failure*; Humans; Hypertension*; Hyponatremia; Kidney; Plasma; Polydipsia*; Polyuria*; Renin; Vasopressins; Water; Wilms Tumor*
- From:Korean Journal of Pediatrics 2006;49(1):99-102
- CountryRepublic of Korea
- Language:English
- Abstract: A 3-year-old girl presented with polydipsia, polyuria, hyponatremia, hypertension and congestive heart failure. Her polyuria was unresponsive to water restriction and vasopressin challenge tests, and her blood pressure was not effectively controlled by antihypertensive drugs. Radiologic examinations revealed a Wilms' tumor in the right kidney. Her plasma renin activity and aldosterone concentration were greatly increased. After surgical removal of the tumor, the congestive heart failure disappeared. Congestive heart failure due to Wilms' tumor is very rare and we report here on such a case, with a brief review of the literature.
