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Acute Pancreatitis Secondary to Primary Hyperparathyroidism
Reinaldo Alfonso Arita Castellanos1, Jose Raul Mata1, Arodys Julianny Valle1
1Internal Medicine Hospital Nacional Mario Catarino Rivas.
Journal of Brown Hospital Medicine
|March 3, 2025
Summary
A patient with type 2 diabetes experienced abdominal pain, nausea, and vomiting due to an elevated parathyroid hormone. Surgical removal of the parathyroid adenoma resolved the symptoms.
Area of Science:
- Endocrinology
- Surgical Pathology
Background:
- Type 2 diabetes mellitus is a common endocrine disorder.
- Parathyroid adenomas can cause hyperparathyroidism, leading to elevated calcium and parathyroid hormone levels.
Observation:
- A 46-year-old woman with type 2 diabetes presented with acute abdominal pain, nausea, and vomiting.
- Laboratory tests revealed hypercalcemia and elevated parathyroid hormone levels.
Findings:
- Neck ultrasound identified a right parathyroid adenoma.
- Histopathological examination confirmed the parathyroid adenoma after surgical resection (parathyroidectomy).
Implications:
- This case highlights the importance of considering parathyroid adenoma in patients with unexplained hypercalcemia and gastrointestinal symptoms.
- Surgical management of parathyroid adenoma can effectively resolve associated symptoms and normalize hormone levels.
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