Open AccessGiant intrathyroidal parathyroid adenoma
Author(s) -
Ramón Vilallonga,
Carlos Zafón,
Raul Migone,
J. D. Baena
Publication year - 2012
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.96497
Subject(s) - medicine , primary hyperparathyroidism , parathyroid adenoma , nausea , hyperparathyroidism , vomiting , adenoma , parathyroid hormone , parathyroid neoplasm , parathyroidectomy , endocrine system , gastroenterology , surgery , hormone , calcium
Primary hyperparathyroidism (PHPT) is not an uncommon endocrine disorder. However, acute primary hyperparathyroidism, or parathyroid crisis (PC), is a rare clinical entity characterized by life-threatening hypercalcemia of a sudden onset in patients with PHPT. We describe a patient with PC who presented with acute worsening of depressive symptoms, nausea and vomiting, and required emergency surgery. Serum calcium, alkaline phosphatase, and parathyroid hormone were elevated and serum phosphorus was low. An emergency hemithyroidectomy was performed because of none medical control of hypercalcemia. A giant intrathyroidal parathyroid adenoma was diagnosed. PHTP can be a life-threatening situation for patients, requiring immediate surgical treatment. A giant intrathyroidal parathyroid adenoma is an uncommon cause of PC.