Korean J Pediatr.  2006 Jan;49(1):99-102. 10.3345/kjp.2006.49.1.99.

Wilms' tumor with polydipsia, polyuria, hyponatremic hypertension and congestive heart failure: a case report

Affiliations
  • 1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea. yh951637@chol.com

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.

Keyword

Wilms' tumor; Hypertension; Congestive heart failure; Hyperreninemia

MeSH Terms

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*
Aldosterone
Antihypertensive Agents
Estrogens, Conjugated (USP)
Renin
Vasopressins
Water
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