October 1983

Unexpected Ovarian Cyst in an Obese, Hypertensive Adolescent Girl

Author Affiliations

Children's Hospital Medical Center Boston

Am J Dis Child. 1983;137(10):1021-1023. doi:10.1001/archpedi.1983.02140360081024

The low frequency with which obesity is associated with a recognizable cause leads most practitioners to label childhood and adolescent obesity as "exogenous." We report a massive

Giant ovarian cyst associated with obesity and hypertension in adolescent. Cyst weighed 40.4 kg and was removed intact. Note subcutaneous abdominal fat is not sharply increased. ovarian tumor that caused hypertension in an obese adolescent girl; this case emphasizes the necessity of excluding specific causes of obesity or the presence of associated conditions.

Report of a Case.—An 18-year-old girl had a history of obesity since early childhood. For approximately six months before her first visit to the Weight Control Program, Children's Hospital Medical Center, Boston, she noted more rapid weight gain with increasing prominence of her abdomen and decreasing circumferences of her ring finger, wrist, and ankle. She denied a history of sexual intercourse; her last menstrual period occurred one month before.