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Hyperparathyroidism and chronic pancreatitis.

作者信息

Smith M D, Pawlak M, Pantanowitz D P, Botha R J

机构信息

Department of Surgery, University of the Witwatersrand, Johannesburg.

出版信息

S Afr J Surg. 1999 Feb;37(1):12-4.

Abstract

Hyperparathyroidism is a rare cause of pancreatitis. The nature of the relationship between the two entities is not well defined, i.e. is it casual or causal? We describe 2 patients with chronic pancreatitis and hyperparathyroidism who presented with epigastric pain and were initially treated unsuccessfully by surgical drainage of the pancreatic ducts. In 1 case the hyperparathyroidism was only recognised after the pancreatic surgery. In both the symptoms of chronic pancreatitis responded well to parathyroidectomy. We believe that our cases add support to a causal relationship between pancreatitis and hyperparathyroidism. Whatever the true relationship, management of these patients should initially be directed at the hyperparathyroidism, followed by appropriate treatment of the pancreatitis.

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