通过射频废除治疗的老年患者的急性胰腺炎的偏甲状腺症:一个病例报告
Tran Thi Hoang Anh1, Le Thi My1, Ngo Thi Thanh Tu1
1Radiology department, Vinmec Times City International hospital, Ha Noi, Viet Nam.
Radiology case reports
|April 8, 2024
概括
原发性偏甲状腺症 (PHPT) 很少表现为急性胰腺炎. 这种病例突出了导致胰腺炎的过度功能副甲状腺瘤,通过射频消去成功治疗,导致症状消失和荷尔蒙水平正常化.
科学领域:
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 原发性偏甲状腺症 (PHPT) 很少通过急性胰腺炎来诊断.
- 过度功能性副甲状腺腺瘤可能导致严重的代谢障碍.
研究的目的:
- 报告一种罕见的急性胰腺炎病例作为PHPT的初始表现.
- 为了说明通过瘤切除成功管理PHPT诱导的胰腺炎.
主要方法:
- 一个87岁的女性患有急性胰腺炎和精神状态改变的案例介绍.
- 诊断工作包括实验室测试 (脂酶,,完整的副甲状腺激素) 和成像 (CT 扫描,部超声波,光学扫描).
- 治疗包括对左侧甲状腺瘤进行射频切除.
主要成果:
- 患者呈现出升高的脂酶,和副甲状腺激素 (PTH) 水平,与PHPT和急性胰腺炎一致.
- 图像检查证实了左侧甲状腺瘤.
- 摘除后,患者的症状消失,激素水平在六个月内恢复正常,胰腺炎没有复发.
结论:
- 急性胰腺炎可以是初始的,尽管很少见,呈现的原发性甲状腺功能障碍症.
- 射频除是一种有效的治疗过度功能副甲状腺瘤导致急性胰腺炎.
- 及时诊断和治疗PHPT可以带来有利的患者结果,并防止胰腺炎复发.
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