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A 5-month-old infant presented with a week's history of progressive abdominal distension. Three weeks previously she had developed pubic hair and breast development. On examination, she had gross abdominal distension with Tanner stage 3 breasts and pubic hair, with mild cliteromegaly (figure 1).
A massively enlarged right ovary (10 cm×6.7 cm×7.7 cm) was identified …