Recurrent acute pancreatitis as an initial presentation of primary hyperparathyroidism:A case report  

作　　者：Masood M Karim Hira Raza Om Parkash 

机构地区：[1]Department of Medicine,The Aga Khan University Hospital,Karachi 74800,Sindh,Pakistan [2]Department of Surgery,Aga Khan University Hospital,Karachi 74800,Sindh,Pakistan

出　　处：《World Journal of Clinical Cases》2024年第29期6302-6306,共5页世界临床病例杂志

摘　　要：BACKGROUND With 4.9 to 35 instances per 100000 cases,hyperparathyroidism is one of the rarest causes of acute pancreatitis.The major cause of primary hyperparathyroidism is a parathyroid adenoma,which can manifest clinically in various ways.CASE SUMMARY We discuss the unusual case of a 13-year-old boy with recurrent pancreatitis as the initial presentation of primary hyperparathyroidism.The cause of his recurrent pancreatitis remained unknown,and the patient had multiple admissions with acute pancreatitis over 3 years.His diagnosis was delayed due to the initial normal levels of parathyroid hormone,which were later reported elevated in a subsequent episode where ultrasound neck and thyroid scintigraphy revealed a parathyroid adenoma as the underlying cause.After the diagnosis was made,he underwent surgical resection of the adenoma.CONCLUSION This case study stresses the importance of considering uncommon causes for recurrent pancreatitis.

关 键 词：Recurrent pancreatitis Primary hyperparathyroidism Normal serum parathyroid hormone Parathyroid adenoma Case report 

分 类 号：R576[医药卫生—消化系统]