Journal of Korean Endocrine Society 1997;12(2):321-327.
Published online January 1, 2001.
Two Cases of Hyperparathyroidism Presenting as Acute Pancreatitis.
Sung Kil Lim, Young Jun Won, Young Duk Song, Hyun Chul Lee, Kap Bum Huh, Bai Jin Lee, Jun Myoung Kim, Yoo Bock Lee
Abstract
The relationship between hypercalcemic crisis and pancreatitis, first described in patients with hyperparathyroidism, still remains controversial. Acute pancreatitis may complicate the clinical course of hyperparathyroidism, particularly when the degree of hypercalcemia is severe. The incidence of hyperparathyroidism presenting as acute pancreatitis appears to be steadily decreasing, possibly reflecting the earlier diagnosis of asymptomatic hyperparaparathyroidism due to widespread application of screening methods. Here, we report two patients with primary hyperparathyroidism manifesting clinically as acute pancreatitis. One patient died of progessive pancreatitis and uncontrolled sepsis. The other patient was fullly recovered by emergent parathyroidectomy followed by medical management of hypercalcemia.
Key Words: Hypercalcemic crisis, Hyperparathyroidism, Acute pancreatitis


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