Leal JJM, Guardiola FA, Ramírez AAM

Language: Spanish
References: 8
Page: 315-318
PDF size: 300.90 Kb.

ABSTRACT

Primary hyperparathyroidism is caused by unique adenoma in 85% of cases; it should be suspected on detecting high blood calcium levels. Prevalence is extremely low in persons under 50 years. High-resolution ultrasound is the imaging mode of choice for diagnostic evaluation.
We present the case of a woman 31 years of age in week 20 of pregnancy, with sudden onset primary hyperparathyroidism due to a giant parathyroid adenoma identified during ultrasound exploration of the neck. The patient initially presented neuromuscular values with accelerated deterioration which led to coma.
The patient was admitted due to acute pancreatitis associated with hypercalcemic crisis, which was resolved with surgical resection of the tumor.

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