Watery diarrhea: An unusual presentation of adrenal ganglioneuroma in a child

Abstract

A 2-year-old male child presented with upper respiratory tract infection along with history of recurrent watery diarrhea for the last 9 months, which was being treated as lactose intolerance. Computed tomography revealed a 5 cm right adrenal mass; complete excision was performed. Histopathology revealed a mature adrenal ganglioneuroma. The patient is no longer suffering from frequent diarrhea and is doing fine on 1-year follow-up. In any pediatric patient with adrenal tumor presenting with watery diarrhea, vasoactive intestinal polypeptide-producing ganglioneuroma must be kept as differential diagnosis.

Keywords

• Adrenal
• ganglioneuroma
• pediatric
• vasoactive intestinal polypeptide
• watery diarrhea