Acute pancreatitis associated with primary hyperparathyroidism

被引：14

作者：

Biondi A. ^{[1
]}

Persiani R. ^{[2
]}

Marchese M. ^{[2
]}

Cananzi F. ^{[2
]}

D'Ugo D. ^{[2
]}

机构：

[1] Emergency and General Surgery Unit, Fondazione IRCCS Ca' Granda Policlinico Maggiore, 20122 Milan

[2] General Surgery Unit, Department of Surgical Sciences, Catholic University, 00168 Rome, L.go Agostino Gemelli

来源：

Updates in Surgery | 2011年 / 63卷 / 2期

关键词：

Acute pancreatitis; Hypercalcemia; Primary hyperparathyroidism;

D O I：

10.1007/s13304-011-0048-9

中图分类号：

学科分类号：

摘要：

Coexistence of primary hyperparathyroidism and acute pancreatitis has widely been reported in literature, but a causal relationship remains controversial. A case of acute pancreatitis as a first symptom of primary hyperparathyroidism with severe hypercalcemia is reported. In this patient a reduction of serum calcium level was obtained with medical therapy and resulted in the resolution of acute pancreatitis symptoms within 10 days. At the same time a parathyroid adenoma was clinically identified and elective parathyroidectomy was performed with complete normalization of intact parathyroid hormone and serum calcium level. At three-year follow-up, no recurrence or complications of pancreatitis were documented. The presented case suggests a cause and effect relationship between acute pancreatitis and severe hypercalcemia which should be kept in mind in the differential diagnosis of nonbiliary, non-alcoholic acute pancreatitis. Reduction of hypercalcemia with medical treatment can represent a good chance for elective surgical neck exploration. © 2011 Springer-Verlag.

引用

页码：135 / 138

页数：3

共 17 条

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