Vilallonga Ramon, Zafón Carlos, Migone Raul, Baena Juan Antonio
Department of General Surgery, Universitary Hospital Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain.
J Emerg Trauma Shock. 2012 Apr;5(2):196-8. doi: 10.4103/0974-2700.96497.
Primary hyperparathyroidism (PHPT) is not an uncommon endocrine disorder. However, acute primary hyperparathyroidism, or parathyroid crisis (PC), is a rare clinical entity characterized by life-threatening hypercalcemia of a sudden onset in patients with PHPT. We describe a patient with PC who presented with acute worsening of depressive symptoms, nausea and vomiting, and required emergency surgery. Serum calcium, alkaline phosphatase, and parathyroid hormone were elevated and serum phosphorus was low. An emergency hemithyroidectomy was performed because of none medical control of hypercalcemia. A giant intrathyroidal parathyroid adenoma was diagnosed. PHTP can be a life-threatening situation for patients, requiring immediate surgical treatment. A giant intrathyroidal parathyroid adenoma is an uncommon cause of PC.
原发性甲状旁腺功能亢进症（PHPT）是一种并不罕见的内分泌疾病。然而，急性原发性甲状旁腺功能亢进症，即甲状旁腺危象（PC），是一种罕见的临床病症，其特征为PHPT患者突然出现危及生命的高钙血症。我们描述了一名患有PC的患者，该患者出现抑郁症状急性加重、恶心和呕吐，需要进行急诊手术。血清钙、碱性磷酸酶和甲状旁腺激素升高，血清磷降低。由于高钙血症无法通过非手术方法控制，因此进行了急诊甲状腺半切除术。诊断为巨大甲状腺内甲状旁腺腺瘤。PHTP对患者来说可能是一种危及生命的情况，需要立即进行手术治疗。巨大甲状腺内甲状旁腺腺瘤是PC的一种罕见病因。
