Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis

<p>Abstract</p> <p>Background</p> <p>The manifestation of primary hyperparathyroidism with acute pancreatitis is a rare event. Ectopic paraesophageal parathyroid adenomas account for about 5%–10% of primary hyperparathyroidism and surgical resection results in cure of t...

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Main Authors: Koutarelos Dimitrios, Lioupis Christos, Rousogiannis Sotirios, Foroulis Christophoros N, Kassi Georgia, Lioupis Athanassios
Format: Article
Language:English
Published: BMC 2004-11-01
Series:World Journal of Surgical Oncology
Online Access:http://www.wjso.com/content/2/1/41
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author Koutarelos Dimitrios
Lioupis Christos
Rousogiannis Sotirios
Foroulis Christophoros N
Kassi Georgia
Lioupis Athanassios
author_facet Koutarelos Dimitrios
Lioupis Christos
Rousogiannis Sotirios
Foroulis Christophoros N
Kassi Georgia
Lioupis Athanassios
author_sort Koutarelos Dimitrios
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The manifestation of primary hyperparathyroidism with acute pancreatitis is a rare event. Ectopic paraesophageal parathyroid adenomas account for about 5%–10% of primary hyperparathyroidism and surgical resection results in cure of the disease.</p> <p>Case presentation</p> <p>A 71-year-old woman was presented with acute pancreatitis and hypercalcaemia. During the investigation of hypercalcemia, a paraesophageal ectopic parathyroid mass was detected by computerized tomography (CT) scan and <sup>99m</sup>Tc sestamibi scintigraphy. The tumor was resected via a cervical collar incision and calcium and parathormone tumor levels returned to normal within 48 hours.</p> <p>Conclusions</p> <p>Acute pancreatitis associated with hypercalcaemia should pose the suspicion of primary hyperparathyroidism. Accurate preoperative localization of an ectopic parathyroid adenoma, by using the combination of <sup>99m</sup>Tc sestamibi scintigraphy and CT scan of the neck and chest allows successful surgical treatment.</p>
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spelling doaj.art-ec7682cce2234d849e29e08678db9d732022-12-22T01:10:31ZengBMCWorld Journal of Surgical Oncology1477-78192004-11-01214110.1186/1477-7819-2-41Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitisKoutarelos DimitriosLioupis ChristosRousogiannis SotiriosForoulis Christophoros NKassi GeorgiaLioupis Athanassios<p>Abstract</p> <p>Background</p> <p>The manifestation of primary hyperparathyroidism with acute pancreatitis is a rare event. Ectopic paraesophageal parathyroid adenomas account for about 5%–10% of primary hyperparathyroidism and surgical resection results in cure of the disease.</p> <p>Case presentation</p> <p>A 71-year-old woman was presented with acute pancreatitis and hypercalcaemia. During the investigation of hypercalcemia, a paraesophageal ectopic parathyroid mass was detected by computerized tomography (CT) scan and <sup>99m</sup>Tc sestamibi scintigraphy. The tumor was resected via a cervical collar incision and calcium and parathormone tumor levels returned to normal within 48 hours.</p> <p>Conclusions</p> <p>Acute pancreatitis associated with hypercalcaemia should pose the suspicion of primary hyperparathyroidism. Accurate preoperative localization of an ectopic parathyroid adenoma, by using the combination of <sup>99m</sup>Tc sestamibi scintigraphy and CT scan of the neck and chest allows successful surgical treatment.</p>http://www.wjso.com/content/2/1/41
spellingShingle Koutarelos Dimitrios
Lioupis Christos
Rousogiannis Sotirios
Foroulis Christophoros N
Kassi Georgia
Lioupis Athanassios
Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
World Journal of Surgical Oncology
title Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_full Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_fullStr Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_full_unstemmed Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_short Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis
title_sort ectopic paraesophageal mediastinal parathyroid adenoma a rare cause of acute pancreatitis
url http://www.wjso.com/content/2/1/41
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