Parathyroid Cyst Presenting as Acute Pancreatitis: Report of a Case / 전남의대학술지
Chonnam Medical Journal
;
: 125-128, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-788273
ABSTRACT
We report the first case of hypercalcemia-induced acute pancreatitis caused by a functioning parathyroid cyst in a 67-year-old man. Laboratory investigation revealed increased serum amylase and lipase, increased serum ionized calcium and parathyroid hormone (PTH) levels, and decreased serum phosphate, indicating pancreatitis and primary hyperparathyroidism (PHPT). Abdominal computed tomography (CT) revealed mild swelling of the pancreatic head with peri-pancreatic fat infiltration and fluid collection around the pancreatic tail. Ultrasonography and CT of the neck showed a cystic lesion at the inferior portion of the left thyroid gland, suggesting a parathyroid cyst. There was no evidence of parathyroid adenoma by 99mTc sestamibi scintigraphy. PHPT caused by a functioning parathyroid cyst was suspected. The patient underwent surgical resection of the functioning parathyroid cyst owing to his prolonged hypercalcemia. At 3 weeks after the operation, his serum levels of PTH, total calcium, ionized calcium, inorganic phosphate, amylase, and lipase were normalized. At the follow-up examinations, he has remained asymptomatic.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pancreatitis
/
Hormona Paratiroidea
/
Neoplasias de las Paratiroides
/
Glándula Tiroides
/
Cintigrafía
/
Calcio
/
Estudios de Seguimiento
/
Ultrasonografía
/
Tecnecio Tc 99m Sestamibi
/
Hiperparatiroidismo Primario
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Anciano
/
Humanos
Idioma:
Inglés
Revista:
Chonnam Medical Journal
Año:
2013
Tipo del documento:
Artículo
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