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Published on: August 17, 2022
Parathyroid Adenoma with a Pathological Fracture: A Rare Case Report
Smruti Srinivasan1, Abhishek Kumar Rai2, Ajinkya Ramesh Bandebuche3
1Department of Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Introduction:
Primary hyperparathyroidism may mimic osteoporosis and lead to pathological fractures.
Case Report:
We report a case of 35-year-old female who sustained left distal tibia-fibula fracture after a trivial fall, later diagnosed to have left inferior parathyroid adenoma. The fracture was managed conservatively and left inferior parathyroidectomy for the adenoma. At 4 years follow-up, there are no clinical or biochemical signs of recurrence.
Conclusion:
Pathological fracture in a case of parathyroid adenoma is extremely rare and requires a multidisciplinary approach for optimal outcome. A combination of clinical, biological, radiological, and biochemical markers with a high index of suspicion in an isolated bone fracture is required to diagnose parathyroid adenoma.
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