Revisiting a Case of Parathyroid Adenoma With Bilateral Staghorn Calculus

Abstract

Parathyroid gland adenoma is responsible for approximately 80%-85% cases of primary hyperparathyroidism. Although not much is diagnostic on clinical examination, the blood investigations of the patients reveal raised serum calcium and serum parathyroid hormone levels. We present a case of chronic kidney disease with bilateral staghorn calculi and a right parathyroid adenoma localized on ultrasonography. Parathyroid adenoma was surgically excised by minimally invasive parathyroidectomy.

Bilateral Staghorn Calculi and Urosepsis as Uncommon Presentations of Primary Hyperparathyroidism

“…Interestingly, in the case published by George & Banerji, ndings of bilateral staghorn calculi were present alongside a brown tumor, which is a lesion that results from the chronic turnover of bone calcium and active proliferation of brous tissue in patients with PHPT 13 . In agreement with our management, all the cases priorly described were managed initially by controlling hypercalcemia, followed by parathyroidectomy, and then managed with percutaneous nephrolithotomy [12][13][14] .…”

“…Although the relationship between nephrolithiasis and PHPT is well known 1 , bilateral staghorn calculi in patients with PHPT have been scarcely reported [12][13][14] . In this article, we report the case of a 64-year-old female presenting with urosepsis and bilateral staghorn calculi in which further approach revealed the presence of PHPT.…”