A 12-year-old girl presented with intermittent fever, generalized weakness, and abdominal distension accompanied by pain. On evaluation, she was diagnosed with bilateral ovarian dysgerminoma complicated by severe hypercalcemia at the time of presentation.
The patient had no significant past medical history or exposure to medications that could explain the hypercalcemia.
Initial management included aggressive hyperhydration, administration of loop diuretics, and bisphosphonate therapy to control the elevated calcium levels. Following stabilization, she underwent successful surgical resection of the tumors. Postoperatively, her symptoms and biochemical abnormalities resolved completely.
Although hypercalcemia is uncommon in pediatric patients, its potential severity mandates prompt recognition and treatment. This case underscores the importance of early diagnosis and multidisciplinary management in children presenting with hypercalcemia secondary to malignancy.
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