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KMID : 0370920090260010063
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Yeungnam Univercity Journal of Medicine
2009 Volume.26 No. 1 p.63 ~ p.69
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A case pf Parathyroid Adenoma Presenting as Acute Panacreatitis Accompanied with Empty Sella
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Jeun Eon-Ju
Won Kyu-Chang
Jang Saet-Byul
Jung Eui-Dal
Bae Kyung-Ryun
Sohn Ho-Sang
Oh Ji-Hye
Jun Seung-Woon
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Abstract
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The incidence of coexisting hyperparathyroidism and empty sella syndrome is rare and the etiology and incidence of their coexistence is not known. The association of hyperparathyroidism and the empty sella syndrome may be related to multiple endocrine neoplasia (MEN) syndrome due to a genetic disorder. We experienced a rare case of hyperparathyroidism presenting as acute pancreatitis combined with empty sella. We report here a 37-year old female who manifested epigastric pain because of acute pancreatitis. She had hypercalcemia due to parathyroid adenoma. A pituitary gland was not visible in the sella turcica on MRI scans. On genetic analysis, she did not show a mutation of the MENIN gene. Empty sella is thought to be a coincidental finding with hyperparathyroidism.
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KEYWORD
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Acute pancreatitis, Empty sella, Hyperparathyroidism
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