All issues > Volume 49(1); 2006

Case Report

Korean J Pediatr. 2006;49(1):99-102. Published online January 15, 2006.

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

Chul Hee CH Woo¹, Ji Min JM Jang¹, Chan Wook CW Woo¹, Ki Hyung KH Lee¹, Kwang Chul KC Lee¹

¹Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea

Correspondence Kwang Chul KC Lee ,Email: 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.

Keywords :Wilms' tumor , Hypertension , Congestive heart failure , Hyperreninemia