A 17 year old girl with gradual swelling of lower abdomen

Abstract

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A 17 year old girl presented at the outpatient department with the history of gradual swelling of lower abdomen, early onset of menstruation (precocious puberty) at the age of 7 years followed by secondary amenorrhea for 10 years, growth retardation and breast atrophy. She also complained that her secondary sexual characteristic did not develop. She had no family history of growth retardation or precocious puberty. Her breast showed infantile growth. She had no history of fever, abdominal pain, alteration of bowel habit, weight loss, or loss of appetite. On examination, she was afebrile and vitally stable.