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KMID : 0371620080230010069
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Journal of Wonkwang Medical Science
2008 Volume.23 No. 1 p.69 ~ p.72
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A case of parathyroid adenoma presened with acute pancreatitis
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Yu Tae-Yang
Park Jong-Bin
Ryu Han-Seung
Cho Me-Young
Nho Hye-Jung
Park Byoung-Hyun
Cho Chung-Gu
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Abstract
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Primary hyperparathyroidism is characterized by hypercalcemia and hypophosphatemia induced by an increased level of parathyroid hormone(PTH). Patients with primary hyperparathyroidism are usually asymptomatic, but can present with symptoms of renal stones, peptic ulcer disease, muscle weakness and depression. In addition, primary hyperparathyroidism-related with hypercalcemia is considered to represent a risk factor for the development of pancreatitis. We report a case of a 66-year-old woman with primary hyperparathyroidism who was accompanied with acute pancreatitis. The chief complain was abdominal pain and general weakness. The serum levels of amylase, lipase, calcium and intact PTH were 17391U/L, 4160IU/L, 21.2mg/dL and 1836pg/mL. A parathyroid mass was detected by neck computed tomography, ultrasonography and 99m-Tc sestamibi scintigraphy. After the surgical procedure, the symptoms were improved and the calcium level was normalized.
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KEYWORD
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Primary hyperparathyroidism, Acute pancreatitis, Hypercalcemia
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