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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 …
Contributors All authors have contributed significantly in producing this paper. HL and TM drafted the paper, with comments and review by FR, KW and HW.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.