Acute Necrotising Pancreatitis As The First And Sole Presentation Of Undiagnosed Primary Hyperparathyroidism

Primary hyperparathyroidism is a recognized, but rare, cause of acute pancreatitis. The pathophysiology of hypercalcemia-induced acute pancreatitis is not well known, but when this combination occurs, pancreatitis is likely to be severe and the degree of hypercalcemia may play an important role in this association. Therefore, the cause of hypercalcemia should be identified early. Surgical resection of the parathyroid adenoma is the ultimate therapy. We report two cases with severe acute necrotizing pancreatitis associated with hypercalcemia. The cause of hyperparathyroidism was a benign parathyroid adenoma. We highlight the drawbacks in delaying the diagnosis of primary hyperparathyroidism in patients with acute pancreatitis as the sole clinical presentation.

Role of Arthroscopy in Disorders of Knee Joint An Analysis of 30 Cases

Thirty cases of various disorders of knee joint were subjected to an arthroscopic examination in order to confirm/alter the diagnosis and simultaneously correct the pathology detected. Torn menisci and ACL tear constitured the large percentage of cases. Partial menisectomy was the most commonly performed procedure accounting for 47% of cases. The superiority of arthroscopy in diagnosing and treating various disorders of knee joint was proved beyond doubt.