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Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis

BACKGROUND: The manifestation of primary hyperparathyroidism with acute pancreatitis is a rare event. Ectopic paraesophageal parathyroid adenomas account for about 5%–10% of primary hyperparathyroidism and surgical resection results in cure of the disease. CASE PRESENTATION: A 71-year-old woman was...

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Autores principales: Foroulis, Christophoros N, Rousogiannis, Sotirios, Lioupis, Christos, Koutarelos, Dimitrios, Kassi, Georgia, Lioupis, Athanassios
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2004
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC538290/
https://www.ncbi.nlm.nih.gov/pubmed/15571624
http://dx.doi.org/10.1186/1477-7819-2-41
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author Foroulis, Christophoros N
Rousogiannis, Sotirios
Lioupis, Christos
Koutarelos, Dimitrios
Kassi, Georgia
Lioupis, Athanassios
author_facet Foroulis, Christophoros N
Rousogiannis, Sotirios
Lioupis, Christos
Koutarelos, Dimitrios
Kassi, Georgia
Lioupis, Athanassios
author_sort Foroulis, Christophoros N
collection PubMed
description BACKGROUND: The manifestation of primary hyperparathyroidism with acute pancreatitis is a rare event. Ectopic paraesophageal parathyroid adenomas account for about 5%–10% of primary hyperparathyroidism and surgical resection results in cure of the disease. CASE PRESENTATION: A 71-year-old woman was presented with acute pancreatitis and hypercalcaemia. During the investigation of hypercalcemia, a paraesophageal ectopic parathyroid mass was detected by computerized tomography (CT) scan and (99m)Tc sestamibi scintigraphy. The tumor was resected via a cervical collar incision and calcium and parathormone tumor levels returned to normal within 48 hours. CONCLUSIONS: Acute pancreatitis associated with hypercalcaemia should pose the suspicion of primary hyperparathyroidism. Accurate preoperative localization of an ectopic parathyroid adenoma, by using the combination of (99m)Tc sestamibi scintigraphy and CT scan of the neck and chest allows successful surgical treatment.
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spelling pubmed-5382902004-12-19 Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis Foroulis, Christophoros N Rousogiannis, Sotirios Lioupis, Christos Koutarelos, Dimitrios Kassi, Georgia Lioupis, Athanassios World J Surg Oncol Case Report BACKGROUND: The manifestation of primary hyperparathyroidism with acute pancreatitis is a rare event. Ectopic paraesophageal parathyroid adenomas account for about 5%–10% of primary hyperparathyroidism and surgical resection results in cure of the disease. CASE PRESENTATION: A 71-year-old woman was presented with acute pancreatitis and hypercalcaemia. During the investigation of hypercalcemia, a paraesophageal ectopic parathyroid mass was detected by computerized tomography (CT) scan and (99m)Tc sestamibi scintigraphy. The tumor was resected via a cervical collar incision and calcium and parathormone tumor levels returned to normal within 48 hours. CONCLUSIONS: Acute pancreatitis associated with hypercalcaemia should pose the suspicion of primary hyperparathyroidism. Accurate preoperative localization of an ectopic parathyroid adenoma, by using the combination of (99m)Tc sestamibi scintigraphy and CT scan of the neck and chest allows successful surgical treatment. BioMed Central 2004-11-30 /pmc/articles/PMC538290/ /pubmed/15571624 http://dx.doi.org/10.1186/1477-7819-2-41 Text en Copyright © 2004 Foroulis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Foroulis, Christophoros N
Rousogiannis, Sotirios
Lioupis, Christos
Koutarelos, Dimitrios
Kassi, Georgia
Lioupis, Athanassios
Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_full Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_fullStr Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_full_unstemmed Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_short Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_sort ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC538290/
https://www.ncbi.nlm.nih.gov/pubmed/15571624
http://dx.doi.org/10.1186/1477-7819-2-41
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