Hiperparatiroidismo primario de origen multiglandular con glándula paratiroides intratiroídea hiperfuncionante / Multiglandular primary hyperparathyroidism with a hyperfunctional intrathyroid gland: case report
Rev. chil. cir
;
63(4): 418-421, ago. 2011. ilus
Article
in Spanish
| LILACS
| ID: lil-597543
ABSTRACT
We report a 56 years old female, admitted to the hospital for the study of general weakness, constipation, a recent radial fracture, hypercalcemia of 18 mg/dl, hypophosphatemia of 1.2 meq/dl and a serum parathormone (PTH) of 995 pg/ml. A thyroid ultrasound disclosed a nodule of 6 cm diameter. Following emergency management and normalization of the hypercalcemia, that patient was subjected to a total thyroidectomy and parathyroidectomy. The pathological study of the surgical piece showed a multiglandular hyperplasia of the parathyroid glands. One of these was located inside the left thyroid lobe.
RESUMEN
Se presenta el caso de una paciente de 56 años que ingresó al hospital por una historia caracterizada por decaimiento, constipación, fractura reciente de radio, hipercalcemia de 18 mg/dl, hipofosfemia de 1,2 meq/ dl y elevación de paratohormona de 995 pg/ml. Además, presentaba un nódulo tiroídeo de 6 cm. Posterior al tratamiento médico de la hipercalcemia, se realizó el tratamiento quirúrgico con el diagnóstico definitivo de hiperplasia paratiroídea multiglandular con una de ellas en ubicación intratiroídea.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Parathyroid Glands
/
Hyperparathyroidism, Primary
Type of study:
Etiology study
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Rev. chil. cir
Journal subject:
General Surgery
Year:
2011
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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