2025, Vol. 7, Issue 2, Part D
Parathyroid adenoma masquerading as acute pancreatitis
Author(s): Muhammad Uneeb, Inamullah, Muhammad Irshad Hussain, Irshad Hussain, Faizan Muhammad, Zia Aftab, Kamran Malik and Syed Muhammad Ali
Abstract: Primary Hyperparathyroidism can be challenging to diagnose, often asymptomatic or only presents with non-specific symptoms. It can affect the skeletal, renal, and neurological systems. Therefore, it is common to diagnose the disease only after it has resulted in complications. One of the key components of the disease is hypercalcemia, which is a known cause of acute pancreatitis. Our case highlights this relatively rare association.
A 24-year-old male presented to the emergency room (ER) with severe epigastric pain and vomiting. Pancreatic enzymes were elevated, confirming acute pancreatitis. After the common causes of acute pancreatitis had been ruled out, the patient was found to have hypercalcemia. Primary Hyperparathyroidism due to a parathyroid adenoma was found to be the underlying pathology. He underwent a minimally invasive parathyroidectomy, following which he made an uneventful recovery.
Acute pancreatitis is associated with significant morbidity and mortality. It also has a high recurrence rate unless the underlying etiology is identified and eliminated. Calcium levels should always be measured in cases of acute pancreatitis. Primary Hyperparathyroidism is the most common cause of hypercalcemia, and parathyroid adenoma is the most common cause of primary Hyperparathyroidism. Parathyroid adenoma can be effectively managed with surgical excision. This will not only prevent recurrence of acute pancreatitis but will also prevent further complications of primary Hyperparathyroidism.
DOI: 10.22271/27081494.2025.v7.i2d.226Pages: 246-250 | Views: 184 | Downloads: 61Download Full Article: Click Here
How to cite this article:
Muhammad Uneeb, Inamullah, Muhammad Irshad Hussain, Irshad Hussain, Faizan Muhammad, Zia Aftab, Kamran Malik, Syed Muhammad Ali.
Parathyroid adenoma masquerading as acute pancreatitis. Int J Case Rep Surg 2025;7(2):246-250. DOI:
10.22271/27081494.2025.v7.i2d.226
