Unveiling the hidden culprit: Parathyroid adenoma induced recurrent renal calculus and pancreatitis-A case report.

Autor: Pandit AK; Department of Gastroenterology and Hepatology Chitwan Medical College Bharatpur Nepal., Pokharel P; Department of Gastroenterology and Hepatology Chitwan Medical College Bharatpur Nepal., Sapkota K; Department of Gastroenterology and Hepatology Chitwan Medical College Bharatpur Nepal., Dhakal S; Department of Gastroenterology and Hepatology Chitwan Medical College Bharatpur Nepal., Kurmi RN; Department of Gastroenterology and Hepatology Chitwan Medical College Bharatpur Nepal., Ranjan MK; Department of Gastroenterology and Hepatology Chitwan Medical College Bharatpur Nepal.
Jazyk: angličtina
Zdroj: Clinical case reports [Clin Case Rep] 2024 Aug 05; Vol. 12 (8), pp. e9248. Date of Electronic Publication: 2024 Aug 05 (Print Publication: 2024).
DOI: 10.1002/ccr3.9248
Abstrakt: This case report describes a 52-year-old patient presenting with recurrent episodes of pancreatitis and renal stones. Further investigation revealed hypocalcemia and elevated parathyroid hormone (PTH) levels, leading to diagnosis of a parathyroid adenoma. This case highlights the importance of considering primary hyperparathyroidism in patients with recurrent pancreatitis and renal stones, as early diagnosis and surgical intervention can prevent recurrence and reduce morbidity.
Abstract: Primary Hyperparathyroidism secondary to Parathyroid adenoma, rarely presents as acute pancreatitis. A 38-year-young male with a history of recurrent renal stones referred from a local center, presented to the emergency services, with a diagnosis of acute pancreatitis and bilateral renal stones. Laboratory evaluation showed an elevated calcium level, elevated PTH levels, low vitamin D, and low phosphorus levels. CT scan done outside was suggestive of acute pancreatitis along with bilateral renal calculi. USG neck and MIBI scan done as a part of hypercalcemia evaluation showed presence of a right parathyroid adenoma. Parathyroid adenoma was later removed, and calcium and parathyroid levels were normal on subsequent follow ups.
Competing Interests: None.
(© 2024 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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