Parathyroid Cyst Presenting as Acute Pancreatitis: Report of a Case / 전남의대학술지
Chonnam Medical Journal
;
: 125-128, 2013.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pancréatite
/
Hormone parathyroïdienne
/
Tumeurs de la parathyroïde
/
Glande thyroide
/
Scintigraphie
/
Calcium
/
Études de suivi
/
Échographie
/
Technétium (99mTc) sestamibi
/
Hyperparathyroïdie primitive
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte très âgé
/
Humains
langue:
Anglais
Texte intégral:
Chonnam Medical Journal
Année:
2013
Type:
Article
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