Van Wyk Grumbach syndrome (VWG) is a rare syndrome characterized by precocious puberty, hypothyroidism, delayed skeletal maturation and bilateral ovarian cysts. A case of 6-year-old girl who presented with vaginal bleeding and pain in abdomen is reported. She was diagnosed with multicystic ovarian cysts in bilateral ovaries on ultrasound and uncontrolled hypothyroidism. This case highlights the importance of doing thyroid function test in children who presents with bilateral ovarian cysts along with precocious pregnancy to make a diagnosis of this rare syndrome and avoid unnecessary surgical intervention
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