Severe Acute Pancreatitis as a First Symptom of Primary Hyperparathyroidism: A Rare Case Report : The Endocrinologist

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CME Review Article #28

Severe Acute Pancreatitis as a First Symptom of Primary Hyperparathyroidism

A Rare Case Report

Michalopoulos, Antonios MD*; Papadopoulos, Vasileios MD*; Apostolidis, Stylianos MD; Paramythiotis, Daniel MD; Zatagias, Apostolos MD; Harlaftis, Nikolaos MD, FACS§

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The Endocrinologist 17(5):p 278-281, September 2007. | DOI: 10.1097/TEN.0b013e318151fcbf

Abstract

A case of severe acute pancreatitis with normal values of serum calcium in a 59-year-old woman is presented. The patient was operated upon for chololithiasis and choledocholithiasis. No stones were found during the duct exploration. A parathyroid adenoma was suspected when serum calcium values were elevated postoperatively and a new acute episode of pancreatitis developed despite the presence of a Kehr catheter in the duct. After the excision of a parathyroid adenoma, serum calcium returned to normal. This case suggests a close relationship between hyperparathyroidism and acute pancreatitis and supports the suspicion of a hyperparathyroidism in cases of severe cute pancreatitis with normal serum calcium levels.

© 2007 Lippincott Williams & Wilkins, Inc.

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