Intractable localized inguinal pruritus as a sign of primary hyperparathyroidism

Generalized pruritus is a well-known complication of primary hyperparathyroidism. We present the first case of primary hyperparathyroidism presenting as a severe localized inguinal pruritus. Pruritus completely resolved after subtotal parathyroidectomy suggesting that intractable cutaneous symptoms like pruritus might be added to the current approved indications of parathyroidectomy in primary hyperparathyroidism. This study also discusses the pathophysiology of pruritus in hyperparathyroidism

Unusual case of jejunal duplication in a 64-year-old female

Gastrointestinal duplications are rare congenital malformations, which may occur anywhere in the gastrointestinal tract, more commonly in the ileum. Most cases appear during the first two years of life. Usually they are located at the paramesenteric side of the bowel and they share with the latter the same blood supply. Vague abdominal pain and distention are common presentations of duplications in adults, although many of them remain asymptomatic. We report a rare case of a jejunal duplication cyst in an elderly female patient, with atypical anatomic features