Document Detail

Hyperparathyroid Crisis Due to Asymmetric Parathyroid Hyperplasia with a Massive Ectopic Parathyroid Gland.
MedLine Citation:
PMID:  24936566     Owner:  NLM     Status:  Publisher    
Objective: To report a rare case of primary hyperparathyroidism presenting with hyperparathyroid crisis due to parathyroid hyperplasia with ectopic glands.Methods: We present the initial clinical manifestations, laboratory results, radiologic and surgical findings, and management in a patient who had hyperparathyroid crisis. The pertinent literature and management options are also reviewed.Results: A 60 year old female presented with hyperparathyroid crisis requiring pre-operative stabilization with rehydration, diuresis, bisphosphonate therapy and ultimately hemodialysis. Parathyroidectomy revealed asymmetric four-gland hyperplasia with a massive ectopic parathyroid gland in the tracheoesophageal groove extending into the mediastinum. Her postoperative course was complicated by hungry bone syndrome and hypocalcemia.Conclusion: This case illustrates the rare occurrence of hyperparathyroid crises due to asymmetric parathyroid hyperplasia with a massive ectopic parathyroid gland.
Lauren F Gratian; Kristen A Hyland; Randall P Scheri
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-16
Journal Detail:
Title:  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists     Volume:  -     ISSN:  1934-2403     ISO Abbreviation:  Endocr Pract     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607439     Medline TA:  Endocr Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-10     Citation Subset:  -    
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