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Journals / Kulak Burun Boğaz Uygulamaları / 2015 / Cilt: 3 - Sayı: 1

Paratiroid adenomun öncü belirtisi olarak akut pankreatit

Acute pancreatitis as a precursor sign of parathyroid adenoma

Melek UYAR
M. Haluk ÖZKUL
Özlem BAYRAM
Burak DİKMEN
Songül ÖZER PELTEK
Pages
47–50
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The relationship between acute pancreatitis and parathyroid adenoma should be kept in mind in the differential diagnosis in patients with non-biliar, non-alcoholic acute pancreatitis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In this article, we present a very rare case of acute pancreatitis caused by parathyroid adenoma-induced primary hyperparathyroidism (PHPT).
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Key Findings & Data:A 27-year-old male was admitted to our hospital with severe abdominal pain, nausea and vomiting.
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Conclusion & Impact:The relationship between acute pancreatitis and parathyroid adenoma should be kept in mind in the differential diagnosis in patients with non-biliar, non-alcoholic acute pancreatitis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In this article, we present a very rare case of acute pancreatitis caused by parathyroid adenoma-induced primary hyperparathyroidism (PHPT). A 27-year-old male was admitted to our hospital with severe abdominal pain, nausea and vomiting. He was under follow-up in the emergency room with the diagnosis of pancreatitis and symptoms associated with hypercalcemia. Biochemical findings suggested PHPT. Scintigraphy showed an increased focal activity under the left lobe of the thyroid gland. The patient underwent minimal invasive parathyroidectomy with preliminary diagnosis of parathyroid adenoma. Histopathological examination confirmed the diagnosis of parathyroid adenoma. The patient had normal serum calcium levels during the clinical follow- up. No recurrence or related complications were reported during one-year follow-up. Clinical improvement was provided by minimal invasive parathyroidectomy in our case. The relationship between acute pancreatitis and parathyroid adenoma should be kept in mind in the differential diagnosis in patients with non-biliar, non-alcoholic acute pancreatitis.

Özet

Bu yazıda, paratiroid adenoma bağlı primer hiperparatiroi- dinin (PHPT) yol açtığı oldukça nadir bir akut pankreatit olgusu sunuldu. Yirmi yedi yaşında erkek hasta şiddetli karın ağrısı, bulantı ve kusma ile hastanemize başvurdu. Hasta hiperkalsemi ile ilişkili semptomlar ve pankreatit tanısı ile acil serviste takip edilmekte idi. Biyokimyasal bulgular PHPTyi destekliyordu. Sintigrafide tiroid bezinin sol lob altında artmış fokal aktivite saptandı. Hastaya parati- roid adenom ön tanısı ile minimal invasiv paratiroidektomi yapıldı. Histopatolojik incelemede paratiroid adenom tanısı doğrulandı. Hastanın klinik takiplerinde serum kalsiyum düzeyleri normaldi. Bir yıllık takip sürecinde nüks veya iliş- kili komplikasyon gözlenmedi. Olgumuzda minimal invaziv paratiroidektomi ile klinik iyileşme sağlandı. Nonbiliyer, nonalkolik akut pankreatitli hastalarda, akut pankreatit ve paratiroid adenom arasındaki ilişki ayırıcı tanıda düşünül- melidir.

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Cite This Article

UYAR, M., ÖZKUL, M. H., BAYRAM, Ö., DİKMEN, B., PELTEK, S. Ö. (2015). Paratiroid adenomun öncü belirtisi olarak akut pankreatit. Kulak Burun Boğaz Uygulamaları, Cilt: 3 - Sayı: 1, 47–50. https://ajindex.com/articles/343503

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