A Case of Hyperparathyroidism due to a Large Intrathyroid Parathyroid Adenoma with Recurrent Episodes of Acute Pancreatitis

We report a case of a 66-year-old woman who developed hyperparathyroidism due to a large intrathyroid parathyroid adenoma with episodes of acute pancreatitis. She had previously been treated for acute pancreatitis twice. Serum calcium was 12.4 mg/dL, and intact parathyroid hormone was 253 pg/dL. Ult...

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Published in:Case reports in endocrinology 2017-01, Vol.2017 (2017), p.1-5
Main Authors: Daimon, Makoto, Morohashi, Satoko, Nishi, Takashi, Igawa, Akiko, Sugiyama, Aya, Kinoshita, Noriko, Kageyama, Kazunori, Kijima, Hiroshi
Format: Article
Language:English
Subjects:
Bone density
Care and treatment
Case Report
Case reports
Case studies
Complications and side effects
Cystic fibrosis
Development and progression
Diabetes
Endocrine system
Endocrinology
Gastroenterology
Hyperparathyroidism
Localization
Medicine
Metabolism
Mutation
Patients
Surgery
Thymoma
Thyroid gland
Tumors
University graduates
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cited_by cdi_FETCH-LOGICAL-c611t-cf26607b09b9ee3d6d885df55e56a111105a4d551ac7bc289c0933065a87025f3
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creator Daimon, Makoto
Morohashi, Satoko
Nishi, Takashi
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Kijima, Hiroshi
description We report a case of a 66-year-old woman who developed hyperparathyroidism due to a large intrathyroid parathyroid adenoma with episodes of acute pancreatitis. She had previously been treated for acute pancreatitis twice. Serum calcium was 12.4 mg/dL, and intact parathyroid hormone was 253 pg/dL. Ultrasonography and computed tomography of the neck with contrast enhancement revealed a soft tissue mass (28 mm transverse diameter) within the left lobe of the thyroid. 99mTc-MIBI scintigraphy demonstrated focal accumulation due to increased radiotracer uptake in the left thyroid lobe. Left hemithyroidectomy was performed. Histopathology showed no signs of invasion, and this is consistent with parathyroid adenoma. Immunostaining was positive for expression of chromogranin A and parathyroid hormone. The patient had no episode of pancreatitis after the operation. In a patient with recurrent episodes of pancreatitis, the possibility of complication with hyperparathyroidism should be considered.
doi_str_mv 10.1155/2017/5376741
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source Wiley Online Library Open Access; Publicly Available Content Database; PubMed Central
subjects Bone density
Care and treatment
Case Report
Case reports
Case studies
Complications and side effects
Cystic fibrosis
Development and progression
Diabetes
Endocrine system
Endocrinology
Gastroenterology
Hyperparathyroidism
Localization
Medicine
Metabolism
Mutation
Patients
Surgery
Thymoma
Thyroid gland
Tumors
University graduates
title A Case of Hyperparathyroidism due to a Large Intrathyroid Parathyroid Adenoma with Recurrent Episodes of Acute Pancreatitis
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