Hyperparathyroid crisis due to asymmetric parathyroid hyperplasia with a massive ectopic parathyroid gland.

Published

Journal Article

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 preoperative stabilization with rehydration, diuresis, bisphosphonate therapy, and ultimately hemodialysis. Parathyroidectomy revealed asymmetric 4-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.

Full Text

Duke Authors

Cited Authors

  • Gratian, LF; Hyland, KA; Scheri, RP

Published Date

  • October 2014

Published In

Volume / Issue

  • 20 / 10

Start / End Page

  • e180 - e182

PubMed ID

  • 24936566

Pubmed Central ID

  • 24936566

International Standard Serial Number (ISSN)

  • 1530-891X

Digital Object Identifier (DOI)

  • 10.4158/EP14136.CR

Language

  • eng

Conference Location

  • United States