Severe acute pancreatitis as a first symptom of primary hyperparathyroidism - A rare case report

被引：1
作者：
Michalopoulos, Antonios [1 ]
Papadopoulos, Vasileios [1 ]
Apostolidis, Stylianos [1 ]
Paramythiotis, Daniel [1 ]
Zatagias, Apostolos [1 ]
Harlaftis, Nikolaos [1 ]
机构：
[1] Aristotle Univ Thessaloniki, Propedeut Surg Clin 1, AHEPA Hosp, GR-54006 Thessaloniki, Greece
来源：
ENDOCRINOLOGIST | 2007年 / 17卷 / 05期
关键词：
primary hyperparathyroidism; acute pancreatitis; parathyroid adenoma;
D O I：
10.1097/TEN.0b013e318151fcbf
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A case of severe acute pancreatitis with normal values of serum calcium in a 59-year-old woman is presented. The patient was operated upon for chololithiasis and choledocholithiasis. No stones were found during the duct exploration. A parathyroid adenoma was suspected when serum calcium values were elevated postoperatively and a new acute episode of pancreatitis developed despite the presence of a Kehr catheter in the duct. After the excision of a parathyroid adenoma, serum calcium returned to normal. This case suggests a close relationship between hyperparathyroidism and acute pancreatitis and supports the suspicion of a hyperparathyroidism in cases of severe cute pancreatitis with normal serum calcium levels.
引用
收藏
页码：278 / 281
页数：4
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