ABSTRACT
Los pacientes con crisis hipecalcémica suelen estabilizarse con tratamiento médico y rara vez precisan tratamiento quirúrgico urgente. Se presenta el caso de una mujer con clínica inespecífica de dolor abdominal, diagnosticada tardíamente de crisis hipercalcémica por hiperparatiroidismo primario. El tratamiento médico y la diálisis peritoneal no fueron efectivos, por lo que precisó paratiroidectomía urgente con determinación intraoperatoria de hormona paratiroidea. La localización preoperatoria del adenoma fue concordante para gammagrafía y ecografía. La crisis hipercalcémica por hiperparatiroidismo primario sin respuesta al tratamiento médico precisa paratiroidectomía urgente. El diagnóstico de localización preoperatorio y la hormona paratiroidea intraoperatoria son indispensables para un tratamiento quirúrgico curativo.Patients with hypecalcemic crisis usually stabilize with medical treatment and rarely require urgent surgical treatment. Woman with a nonspecific clinic of abdominal pain, diagnosed late of hypercalcemic crisis due to primary hyperparathyroidism. Medical treatment and peritoneal dialysis were not effective, requiring urgent parathyroidectomy with determination of intraoperative parathormone. The preoperative location of the adenoma was concordant for scintigraphy and ultrasound. Hypercalcemic crisis due to primary hyperparathyroidism without response to medical treatment requires urgent parathyroidectomy. Preoperative adenoma location and intraoperative parathormone are essential for curative surgical treatment.
Subject(s)
Hyperparathyroidism, Primary , Female , Humans , Hyperparathyroidism, Primary/complications , Hyperparathyroidism, Primary/therapy , Parathyroid Hormone , UltrasonographyABSTRACT
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Subject(s)
Humans , Female , Middle Aged , Colonic Neoplasms/complications , Skin/pathology , Adenocarcinoma/complications , Pyoderma Gangrenosum/diagnosis , Pyoderma Gangrenosum/drug therapy , Disease Progression , Ileostomy/methods , Colonic Neoplasms/surgery , Pyoderma Gangrenosum/therapy , Neoplasm Recurrence, Local/complications , Skin Neoplasms/diagnosis , Rectal Neoplasms/drug therapy , Postoperative Complications/therapy , Biopsy , Neoplasm Recurrence, Local/drug therapy , Adrenal Cortex Hormones/therapeutic use , Cyclosporine/therapeutic useABSTRACT
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