Severe pancreatitis after parathyroidectomy

Citation
O. Mjaland et E. Normann, Severe pancreatitis after parathyroidectomy, SC J GASTR, 35(4), 2000, pp. 446-448
Citations number
14
Categorie Soggetti
Gastroenerology and Hepatology","da verificare
Journal title
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
ISSN journal
00365521 → ACNP
Volume
35
Issue
4
Year of publication
2000
Pages
446 - 448
Database
ISI
SICI code
0036-5521(200004)35:4<446:SPAP>2.0.ZU;2-Y
Abstract
Cope showed in 1957 that pancreatitis may he the presenting symptom in hype rparathyroidism. Since then, the literature has reported a coincidence of p rimary hyperparathyroidism and pancreatitis between 1% and 19%, but the tru e relationship has not been fully established. When severe pancreatitis fol lows parathyroidectomy, a condition familiar to parathyroid surgeons, repor ts are mostly anecdotal and by many authors considered to be coincidental. We present the case history of a 58-year-old man with a longstanding histor y of untreated primary hyperpararthyroidism who developed severe pancreatit is immediately after removal of a 400-mg parathyroid adenoma. He was the fi rst in a series of 108 operated patients to develop this complication. His preoperative levels of parathormone and serum calcium were the highest in o ur material. We believe that pancreatitis after parathyroidectomy is a real but rare complication that might be predicted by preoperative high values of serum calcium and parathormone.