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Colegio de Medicina Interna de México.

2023, Number 5

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Med Int Mex 2023; 39 (5)

Acute pancreatitis associated with primary hyperparathyroidism

Reyes SN, Tenorio PMA, Aguilar LJL, Hinojosa HM, Rodríguez NO

Language: Spanish
References: 13
Page: 821-825
PDF size: 220.91 Kb.


ABSTRACT

Background: Acute pancreatitis is the most common gastrointestinal disease in hospital admissions. The predominant causes are: gallstones (40%), prolonged alcohol consumption (30%) and hypertriglyceridemia (2-5%). Other less frequent causes are related to drugs, trauma, ischemia, infections, autoimmune diseases, endoscopic retrograde cholangiopancreatography and hypercalcemia.
Clinical case: A 54-year-old patient with acute pancreatitis associated to goiter, bilateral renal lithiasis, and hypercalcemia, with no important pathological history for the current disease. Therefore, a study protocol was performed as a reason for acute pancreatitis, finding primary hyperparathyroidism due to a parathyroid adenoma as cause of the acute disease.
Conclusions: In this case, definitive surgery avoided acute complications, and could prevent disability and chronic or recurrent pancreatitis readmissions, that could lead the patient even to death.


REFERENCES

  1. Boxhoorn L, Voermans RP, Bouwense SA, Bruno MJ,Verdonk RC, Boermeester MA, et al. Acute pancreatitis.Lancet 2020; 396 (10252): 726-34. doi: 10.1016/S0140-6736(20)31310-6.

  2. Tun-Abraham ME, Obregón-Guerrero G, Romero-EspinozaL, Valencia-Jiménez J. Acute pancreatitis associated withhypercalcaemia. Cir Cir (Engl Ed) 2015; 83 (3): 227-31. DOI:10.1016/j.circen.2015.09.026.

  3. Sabatine MS. Hipocalcemia. En: The MassachusettsGeneral Hospital Handbook of internal medicine. Baltimore,MD, Estados Unidos de América: Wolters KluwerHealth; 2017.

  4. Delgado-Gomez M, Hoz-Guerra Sonsoles de la, García-Duque M, Vega-Blanco M, Blanco-Urbaneja I. Diagnósticodel hiperparatiroidismo primario. Rev. ORL 2020; 11 (3):347-359.

  5. Kundu PK, Basu S, Chakraborty U, Chandra A. Hypercalcaemiain primary hyperparathyroidism: a rare cause ofrecurrent acute pancreatitis. BMJ Case Rep 2020; 13 (12):e237875. http://dx.doi.org/10.1136/bcr-2020-237875.

  6. Misgar RA, Mathew V, Pandit K, Chowdhury S. Primaryhyperparathyroidism presenting as recurrent acute pancreatitis:A case report and review of literature. Indian JEndocrinol Metab 2011; 15 (1): 54-6. doi: 10.4103/2230-8210.77588.

  7. Biondi A, Persiani R, Marchese M, Cananzi F, D’Ugo D. Acutepancreatitis associated with primary hyperparathyroidism.Updates Surg 2011; 63 (2): 135-8. https://doi.org/10.1007/s13304-011-0048-9.

  8. Cope O, Culver PJ, Mixter CG Jr, Nardi GL. Pancreatitis, Adiagnostic clue to hyperparathyroidsm. Ann Surg 1957; 145(6): 857-63. doi: 10.1097/00000658-195706000-00007.

  9. Kumar A, Kumar PG, Pujahari AK, Sampath S. Hypercalcemiarelated pancreatitis. Med J Armed Forces India 2010;66 (4): 385-6. doi: 10.1016/S0377-1237(10)80025-5.

  10. Frick TW. The role of calcium in acute pancreatitis. Surgery2012; 152 (3 Suppl 1): S157-63. https://doi.org/10.1016/j.surg.2012.05.013.

  11. Garro Urbina V, Thuel Gutiérrez M. Diagnóstico y tratamientode pancreatitis aguda. Rev Medica Sinerg 2020; 5 (7):e537. https://doi.org/10.31434/rms.v5i7.537.

  12. Laínez AG, García WU. Pancreatitis aguda: Evidencia Actual.Arch Med 2018; 14 (1): 1-10.

  13. Simsir IY, Sarer Yurekli BP. A striking finding during intraoperativejugular vein sampling in a case of parathyroid adenomawith low-normal serum intact parathyroid hormonelevels. J Clin Case Rep 2016; 6 (6). DOI: 10.4172/2165-7920.1000817.




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