揭开隐藏的元凶：4D CT在诊断表现为急性胰腺炎的甲状旁腺腺瘤中的关键作用。
Unmasking hidden culprits: The pivotal role of 4D CT in diagnosing parathyroid adenoma presenting as acute pancreatitis.
作者信息
Naik Soham, Vora Kaushar, Solanki Vipul, Kaur Manik
机构信息
Department of Radiodiagnosis, Sir Takhtasinhji General Hospital and Government Medical College, Bhavnagar, Gujarat, India.
出版信息
Radiol Case Rep. 2025 May 1;20(7):3476-3483. doi: 10.1016/j.radcr.2025.02.086. eCollection 2025 Jul.
Primary hyperparathyroidism (PHPT) is an endocrine disorder that can rarely present with acute pancreatitis, a significant yet infrequent complication. We describe 2 patients-a 38-year-old male with a eutopic parathyroid adenoma and a 20-year-old male with an ectopic adenoma-both presenting with elevated parathyroid hormone levels, hypercalcemia, and recurrent acute pancreatitis. In each case, 4D Computed Tomography precisely localized the adenoma, enabling successful surgical resection and immediate normalization of biochemical abnormalities. These cases underscore the importance of considering PHPT in patients with hypercalcemia and pancreatitis and highlight the pivotal role of 4D CT for accurate adenoma localization and optimal surgical management.
原发性甲状旁腺功能亢进症（PHPT）是一种内分泌紊乱疾病，很少会并发急性胰腺炎，这是一种严重但不常见的并发症。我们描述了2例患者，1例是38岁患有正常位置甲状旁腺腺瘤的男性，另1例是20岁患有异位腺瘤的男性，他们均表现为甲状旁腺激素水平升高、高钙血症和复发性急性胰腺炎。在每例患者中，四维计算机断层扫描精确地定位了腺瘤，从而成功进行了手术切除，并使生化异常立即恢复正常。这些病例强调了在高钙血症和胰腺炎患者中考虑PHPT的重要性，并突出了四维CT在准确腺瘤定位和优化手术管理方面的关键作用。
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