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SCULLY,R et al Case 32-1996 — A 44-Year-Old Woman with a Long History of Intermittent Hypercalcemia, a New Neck Mass, and Hypercalcemic Crisis, N Engl J Med 1996; 335: 1213-1220.

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Article

Acute Pancreatitis in an Atypical Parathyroid Adenoma: A Rare Case of Hyperparathyroidism

1Department of Internal Medicine, WellStar Atlanta Medical Center, Atlanta, Georgia, USA

2Facultad de Ciencias Medicas, Universidad de Guayaquil, Ecuador


American Journal of Medical Sciences and Medicine. 2022, Vol. 10 No. 2, 40-43
DOI: 10.12691/ajmsm-10-2-1
Copyright © 2022 Science and Education Publishing

Cite this paper:
Luis M. Nieto, Sharon Narvaez, Sinetsehay Temesgen, Pooja Singh, Israel Orija. Acute Pancreatitis in an Atypical Parathyroid Adenoma: A Rare Case of Hyperparathyroidism. American Journal of Medical Sciences and Medicine. 2022; 10(2):40-43. doi: 10.12691/ajmsm-10-2-1.

Correspondence to: Luis  M. Nieto, Department of Internal Medicine, WellStar Atlanta Medical Center, Atlanta, Georgia, USA. Email: dr_luismiguelnieto@hotmail.com

Abstract

Primary hyperparathyroidism is a common manifestation of parathyroid disease. Atypical parathyroid adenoma and parathyroid carcinoma are rare causes of primary hyperparathyroidism and pathologic differentiation is challenging. A 44-year-old Caucasian female presented with abdominal pain, nausea, and vomiting. Her serum calcium, intact PTH, and lipase levels were elevated at presentation. Radiological assessment revealed a parathyroid mass. After parathyroidectomy, pathology demonstrated an atypical parathyroid adenoma. We present a case of primary hyperparathyroidism due to an atypical parathyroid adenoma associated with acute pancreatitis. Concurrence of severe hypercalcemia in the setting of atypical parathyroid adenoma and acute pancreatitis is very uncommon, with a small number of reported cases.

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