Mendizova A, Baleva R, Zografski S, Dashev G
Vutr Boles. 1976 Dec;15(6):76-8.
A female with premary hyperparathyroidism and secondary renal lesions, as well as lesions of the stomach and pancreas is described. The initial illness was manifested by repeated renal crises. Later, gastroenterological complaints appeared--epigastralgia, vomiting, frequent hematemesis with melena. That was the cause for a gastric resection, diffuse erosive gastritis being found. After the operation, the pains and the vomiting of hematin matter repeatedly recidivated. Clinically and at the laboratory, data were formed for a chronic recidivating pancreatitis with the presence of primary hyperparathyroidism. The postoperative treatment of the parathyroid adenoma led to an improvement of the gastroenterological complaints.
本文描述了一位患有原发性甲状旁腺功能亢进症及继发性肾脏病变,同时伴有胃部和胰腺病变的女性患者。最初的病症表现为反复出现的肾危象。后来,出现了胃肠方面的症状——上腹部疼痛、呕吐、频繁呕血并伴有黑便。这就是进行胃切除术的原因,术中发现为弥漫性糜烂性胃炎。术后,疼痛和血性物质呕吐症状反复复发。临床和实验室检查结果显示存在原发性甲状旁腺功能亢进症的慢性复发性胰腺炎。甲状旁腺腺瘤的术后治疗使胃肠症状得到了改善。