Department of Endocrinology and Metabolism, West China School of Medicine/West China Hospital of Sichuan University, Chengdu, China.
Department of Geriatrics, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Front Endocrinol (Lausanne). 2021 Oct 25;12:766234. doi: 10.3389/fendo.2021.766234. eCollection 2021.
Hyperparathyroidism is a common cause of hypercalcemia; however, spontaneous remission after a hypercalcemic crisis caused by an intracystic hemorrhage of parathyroid adenomas is very rare. The question, then, is "What is the best treatment strategy for this type of case?"
A 47-year-old male patient with primary hyperparathyroidism and a hypercalcemic crisis is reported. Hypercalcemia was spontaneously relieved thereafter. Postoperative paraffin pathology results indicated an intracystic hemorrhage of bilateral parathyroid adenomas.
After the case report, a literature review is also included to summarize the clinical features of this patient and to provide special reference for clinical diagnosis and treatment of similar cases.
The choice of surgical timing for such cases can be made based on the comprehensive consideration of clinical symptoms and changes in parathyroid function.
甲状旁腺功能亢进是高钙血症的常见原因；然而，由甲状旁腺瘤囊内出血引起的高钙血症危象后自发缓解非常罕见。那么问题是：“对于这种类型的病例，最佳的治疗策略是什么？”
报告了一例 47 岁男性原发性甲状旁腺功能亢进和高钙血症危象患者。此后，高钙血症自行缓解。术后石蜡病理结果提示双侧甲状旁腺瘤囊内出血。
病例报告后，还进行了文献复习，总结了此类患者的临床特征，为临床诊断和治疗类似病例提供了特殊参考。
对于此类病例，手术时机的选择可以根据临床症状和甲状旁腺功能变化的综合考虑来决定。
