Endocrinology Research and Practice
Case Report

Cystic Parathyroid Adenoma: An Unusual Cause of Hypercalcemic Crisis

1.

Recep Tayyip Erdoğan University Faculty of Medicine, Department of Endocrinology, Rize, Turkey

2.

Recep Tayyip Erdoğan University Faculty of Medicine, Department of Nephrology, Rize, Turkey

3.

Recep Tayyip Erdoğan University Faculty of Medicine, Department of Internal Medicine, Rize, Turkey

4.

Recep Tayyip Erdoğan University Faculty of Medicine, Department of Pathology, Rize, Turkey

5.

Recep Tayyip Erdoğan University Faculty of Medicine, Department of General Surgery, Rize, Turkey

6.

Recep Tayyip Erdoğan University Faculty of Medicine, Department of Radiology, Rize, Turkey

Endocrinol Res Pract 2014; 18: 64-66
DOI: 10.4274/tjem.2398
Read: 2190 Downloads: 585 Published: 01 June 2014

ABSTRACT

Parathyroid crisis is a rare clinical entity characterized by life-threatening hypercalcemia of a sudden onset in patients with primary hyperparathyroidism (pHTP) and rarely results from a cystic adenoma. We describe a 53-year-old woman with acute hypercalcemic crisis who presented with severe gastrointestinal symptoms. She had severe hypercalcemia (calcium level: 18.6 mg/dl) in conjunction with an elevated parathyroid hormone level of 1063 pg/ml. Ultrasonography of the neck revealed a 25x15 mm partly cystic mass at the superior pole of the right thyroid lobe. The patient underwent surgery immediately because hypercalcemia could not be controlled with medical treatment. The pathologic diagnosis was a cystic parathyroid adenoma.

 

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