Acute pancreatitis and hyperparathyroidism: A case series

• DOI: 10.1007/s12664-013-0430-2
• Publication Date: 2014-01-13T05:36:01Z
• Authors: Sudipta Dhar Chow...; Reuben Thomas Kurien; Sandip Pal; Veena Jeyaraj; Anjilivelil Josep...; Amit Kumar Dutta; Anuradha Chandram...; Deepak Abraham; Joby Augustine; Julie Hephzibah; Ebby George Simon
• Keywords: Adult; Diagnostic Imaging; Male; Parathyroidectomy; Adolescent; Hyperparathyroidism, Primary; 3. Good health; Young Adult; 03 medical and health sciences; Fatal Outcome; Treatment Outcome; 0302 clinical medicine; Pancreatitis; Parathyroid Hormone; Acute Disease; Humans; Calcium; Female; Biomarkers

Primary hyperparathyroidism is a rare cause of acute pancreatitis. Five consecutive patients with acute or recurrent acute pancreatitis and primary hyperparathyroidism were included. All patients had elevated serum calcium on admission and high levels of circulating parathyroid hormone. Both ultrasonography and Sestamibi scan was used to localize parathyroid adenoma. Except for one, all patients underwent parathyroidectomy and postoperative histology was consistent with parathyroid adenoma. One patient died while on treatment. Metabolic causes of acute pancreatitits, though uncommon, are important as early recognition helps management and prevents recurrence.