Hyperfunctioning Parathyroid Giant Adenoma
Journal Title: Surgical Research – Open Journal - Year 2015, Vol 2, Issue 1
Abstract
Purpose: The objective of this paper is to report the management and treatment of a 47-year-old patient admitted with multiple problems including asthenia, nausea and bradycardia, and was diagnosed with a giant parathyroid adenoma. Case report: A 47-year-old man was admitted to the Department of General Surgery for acute and worsening asthenia, nausea and bradycardia. Blood tests showed hypercalcemia, hypophosporemia, very high serum parathormone level, so that he was diagnosed with primary hyperparathyroidism. Cervical ultrasonography and scintigraphy with technetium 99 mTc Methoxyisobutylisonitrile (99 mTc-MIBI) showed the presence of positive nodule at the isthmus of the thyroid gland. The patient underwent neck exploration. Intra-operative iPTH essay was measured. A giant parathyroid adenoma was identified and excised, with no macroscopic signs of malignancy. Discussion and conclusion: Hyper functioning parathyroid giant adenoma can present with typical symptoms of hypercalcemic crisis: ECG alterations, kidney failure, emotional lability, confusion, delirium, psychosis, asthenia, epilepsy. Elective treatment is the excission. The surgical technique contemplates neck exploration and to ensure the finding of the adenoma, previously identified with imaging tests. It is necessary to measure intra-operative iPTH assay.
Authors and Affiliations
Pasquale Sperlongano
Keywords
Related Articles
- EP ID EP558248
- DOI 10.17140/SROJ-2-108
- Views 156
- Downloads 0
Post-Thyroidectomy Hypocalcemia: Timing of Discharge Based on Serum Calcium Levels
Purpose: The study concerns about the evaluation of Calcium serum levels in patients who underwent total thyroidectomy. Our previous experience underlined how patients who had levels of serum Calcium more than 9 mg/dl at...
Ileal Interposition with Gastric Bipartition and a Weight-Adjusted Sleeve Gastrectomy: A New Model of Metabolic Surgery
Background: Metabolic surgery for the treatment of type 2 diabetes patients, with body mass index (BMI) less than 35 kg/m2 has been found to be increasing every year. Duodenoileal interposition with sleeve gastrectomy a...
Traumatic Brain Injury: An Update
Traumatic brain injury (TBI) remains one of the leading causes of trauma-related mortality and morbidity in the United States.1 An estimated 2.5 million TBI occur annually resulting in 282,000 hospitalization and 50,000...
The TNF, IL-1, IL-6 and HNP Peritoneal Fluid Concentrations in Premature Infants Treated with Peritoneal Drainage for Intestinal Perforation-Preliminary Study
Purpose: The purpose of the study was to analyze the pro-inflammatory cytokines (TNF, IL-1, IL-6 and HNP) profile in the peritoneal fluid in preterm infants with intestinal perforation due to Necrotizing enterocolitis (N...
Cost Effectiveness analysis of Surgical Treatment of Stress Urinary Incontinence Using Single-Incision Mini-Slings vs. Tension-Free Vaginal Obturator in Spain
Objectives: Stress Urinary Incontinence (SUI) is highly prevalent, noticeably deteriorating quality of life. The current surgical treatment is performed through minimally invasive techniques that are quite rapidly evolvi...