Parathyroid adenoma: a case report

Kantharia, Shehnaz R; Kantharia, Rajesh; Reddy, B. Pradeep K.; Mistry, Yogesh

doi:10.18203/issn.2454-5929.ijohns20203210

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Though the scans were more in a favour of PHPT. Modalities such as ultrasonography, 99m Tc-MIBI DPS, SPECT/CT have high diagnostic value in detecting PA. 90% sensitivity of MIBI scan is reported for detecting PA. 7 But has limited accuracy for hyperplasia (PH). Ultrasound has slightly better advantage for hyperplastic lesions.…”

Section: Discussionmentioning

confidence: 99%

Nodular hyperplasia of parathyroid gland in chronic kidney disease – A case report

Jadhav

A²

2021

IJPO

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Nodular hyperplasia of parathyroid gland is an advanced state commonly seen in a secondary and tertiary hyperparathyroidism. It shares similarities on histology with parathyroid adenoma creating a diagnostic dilemma. Adequate history, biochemical investigations and radiological studies majorly supports the accurate diagnosis. Identifying correct state of hyperparathyroidism is essential in a view of therapeutic management and its outcome.

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Section: Discussionmentioning

confidence: 99%

Nodular hyperplasia of parathyroid gland in chronic kidney disease – A case report

Jadhav

A²

2021

IJPO

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“…Hyperparathyroidism, which develops when the usual feedback control by serum calcium is disrupted or there is an elevated production of PTH, has been mostly caused by parathyroid adenoma. 2 According to clinical investigations, individuals presenting with parathyroid tumor frequently have hypercalcemia. Ultrasonography and 99mTc-MIBI scintigraphy make parathyroid adenoma detection easier because of the rise in PTH levels and parathyroid function.…”

Section: Introductionmentioning

confidence: 99%

“…Imaging cannot detect normal parathyroid glands because they are too small, but parathyroid illness often causes the glands to grow and become visible. The main imaging modalities used to visualize diseased glands are sonography and 99mTc preoperative sestamibi (MIBI) scans 2.…”

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confidence: 99%

A case report: acute necrotizing pancreatitis secondary to hypercalcemia in case of parathyroid adenoma

Behera,

Bhatt,

Vagadiya

2024

Int Surg J

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The incidence of primary hyperparathyroidism (PHPT) in India is 2.5/1000 individuals. The major cause for PHPT is parathyroid adenoma. To arrive at the correct diagnosis, clinical setting, biochemical and radiological investigations, the status of other glands assessed lntraoperatively and finally histopathological confirmation is essential. The association between acute pancreatitis and PHPT has widely been reported in literature, but a causal relationship remains controversial. This case report is about a patient admitted with acute pancreatitis as a first manifestation of a parathyroid adenoma. The purpose of this paper is to keep in mind the metabolic etiology, by evaluating calcium and parathyroid hormone (PTH) in the differential diagnosis of non-Biliary, non-alcoholic acute pancreatitis.

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Primary Hyperparathyroidism in a Post-total Thyroidectomy Patient: An Unexpected Diagnosis

Batista

Fontaínhas

Pereira

2023

Cureus

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Hypercalcemia is commonly encountered in the clinical setting. Although primary hyperparathyroidism resulting from a single parathyroid adenoma is the most common cause, in patients who undergo total thyroidectomy, especially when there is no history of radiation exposure nor parathyroid autotransplantation, it becomes an even more unexpected diagnosis. Because the majority of patients are asymptomatic, the diagnosis often is made incidentally. However, with long-standing disease, as parathyroid hormone and blood calcium levels rise, symptoms become more noticeable, and its clinical manifestations can affect nearly every organ system in the body. We present the case of a 79-year-old woman with a history of surgical hypothyroidism secondary to total thyroidectomy, hypertension and chronic kidney disease, who was admitted to the Emergency Department after an episode of syncope. She mentioned abdominal pain and vomiting in the previous week and paresthesia of both hands and feet over the last months. The initial testing identified a first-degree auriculoventricular block, a worsened renal function and severe hypercalcemia caused by primary hyperparathyroidism. The mainstay of treatment was aggressive fluid therapy, intravenous bisphosphonate and calcimimetic. Definitive treatment was achieved by the surgical removal of a mass located in the left thyroidectomy bed, compatible with a parathyroid adenoma. No further therapy was needed, as calcium levels gradually returned to normal.

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Parathyroid adenoma: a case report

Cited by 3 publications

References 8 publications

Nodular hyperplasia of parathyroid gland in chronic kidney disease – A case report

Nodular hyperplasia of parathyroid gland in chronic kidney disease – A case report

A case report: acute necrotizing pancreatitis secondary to hypercalcemia in case of parathyroid adenoma

Primary Hyperparathyroidism in a Post-total Thyroidectomy Patient: An Unexpected Diagnosis

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