A Case of Recurrent Renal Calculi Secondary to Parathyroid Adenoma: A Case Report
Primary hyperparathyroidism (PHPT) is a common endocrine disorder characterized by hypercalcemia and excessive secretion of parathyroid hormone (PTH). We report the case of a 71-year-old woman who presented with intermittent abdominal pain, associated with fever and chills. She also experienced earl...
| Published in: | Assam Journal of Internal Medicine |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
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| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ajoim.ajoim_9_23 |
| Summary: | Primary hyperparathyroidism (PHPT) is a common endocrine disorder characterized by hypercalcemia and excessive secretion of parathyroid hormone (PTH). We report the case of a 71-year-old woman who presented with intermittent abdominal pain, associated with fever and chills. She also experienced early morning face puffiness, decreased appetite, and nausea for the past 7 days. The patient has a history of recurrent renal calculi. Routine blood investigation showed anemia, as well as thrombocytopenia with deranged renal function with hyperkalemia, hypercalcemia, and low-normal phosphorus levels. A plain CT KUB scan showed bilateral hydroureteronephrosis, which was determined to be secondary to renal calculi, the largest measuring 24 × 16 mm (HU:1300). The patient underwent two sessions of hemodialysis and was then scheduled for bilateral URSL with bilateral DJ stenting. After the procedure, the patient’s serial renal function tests returned to normal. Further evaluation for hypercalcemia revealed very high levels of PTH, and a magnetic resonance imaging of the neck revealed a right parathyroid adenoma. The patient subsequently underwent parathyroidectomy, and post-procedure serial PTH and calcium levels were found to be normal. |
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| ISSN: | 2278-8239 2773-0166 |