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Catecholamine-secreting extra-adrenal pelvic ganglioneuroma in a child presenting with diaphoresis: A case report and review of literature
Journal article   Open access   Peer reviewed

Catecholamine-secreting extra-adrenal pelvic ganglioneuroma in a child presenting with diaphoresis: A case report and review of literature

Ahmad Zaghal, Graeme Pitcher, Sydney Rooney, Stacy Hitt, Patricia Kirby and Joel Shilyansky
Journal of pediatric surgery case reports, Vol.2(7), pp.373-376
07/01/2014
DOI: 10.1016/j.epsc.2014.07.012
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https://doi.org/10.1016/j.epsc.2014.07.012View
Published (Version of record) Open Access

Abstract

Diaphoresis is an uncommon presenting symptom in children. We present a 4 year old boy, with a history of increased sweating of 2 years duration. Review of systems was negative for diarrhea, flushing, or abdominal pain. On exam, the child had normal blood pressure and heart rate. An abdominal mass could not be appreciated. Laboratory studies were significant for modestly elevated serum, and urinary dopamine and norepinephrine levels. Computerized tomography scan showed a 31 x 39 x 51 mm pelvic mass. The patient underwent laparoscopic resection of the mass. After resection, catecholamine levels normalized, and sweating stopped. Pathologic evaluation of the surgical specimen revealed a maturing ganglioneuroma (GN). Health-care providers might easily overlook excessive sweating in a child, which can be a presenting symptom of catecholamine-secreting tumors. (C) 2014 The Authors. Published by Elsevier Inc. All rights reserved.
Life Sciences & Biomedicine Pediatrics Science & Technology

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