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重症急性胰腺炎作为甲状旁腺腺瘤的主要临床表现

Severe Acute Pancreatitis as an Index Clinical Manifestation of Parathyroid Adenoma.

作者信息

Sunkara Tagore, Caughey Megan E, Rawla Prashanth, Yarlagadda Krishna Sowjanya, Gaduputi Vinaya

机构信息

Internal Medicine/gastroenterology, The Brooklyn Hospital Center, Affiliate of the Mount Sinai Hospital. 121 Dekalb Avenue, Brooklyn, Ny 11201.

Internal Medicine, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, Ny.

出版信息

Cureus. 2018 Apr 7;10(4):e2445. doi: 10.7759/cureus.2445.

Abstract

Hypercalcemia due to primary or secondary hyperparathyroidism is a rare and obscure cause of acute pancreatitis. Although a rare occurrence to begin with, hyperparathyroidism commonly manifests with symptoms of hypercalcemia. Thus, it would reason that a patient might develop pancreatitis by way of hypercalcemia due to primary or secondary hyperparathyroidism. We present a case of an 88-year-old female with acute pancreatitis and only after an extensive work-up, was it determined that her severe acute pancreatitis resulted from primary hyperparathyroidism caused by a left parathyroid adenoma.

摘要

原发性或继发性甲状旁腺功能亢进所致的高钙血症是急性胰腺炎罕见且隐匿的病因。甲状旁腺功能亢进虽然一开始是罕见病症,但通常会表现出高钙血症的症状。因此,可以推断患者可能因原发性或继发性甲状旁腺功能亢进导致的高钙血症而引发胰腺炎。我们报告一例88岁女性急性胰腺炎病例,经过全面检查后,才确定其严重急性胰腺炎是由左侧甲状旁腺腺瘤引起的原发性甲状旁腺功能亢进所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aa8/5991921/548dfdab1013/cureus-0010-00000002445-i01.jpg

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