UDK: 611.447

ECTOPIC MEDIASTINAL PARATHYROID ADENOMA AS A CAUSE OF ACUTE PANCREATITIS

A. V. Zubkov, A. I. Krayushkin, V. L. Zagrebin, V. B. Barkanov

Волгоградский государственный медицинский университет, кафедра анатомии человека, кафедра гистологии, эмбриологии, цитологии, кафедра судебной медицины

Abstract

A combination of primary hyperparathyroidism and acute pancreatitis is a rare pathology. Ectopic mediastinal parathyroid adenomas cause primary hyperparathyroidism in 5—10 % cases. The removal of adenoma cures the disease. A 71-old woman with acute pancreatitis and hypercalcemia was consulted. In the course of investigation the computer tomography revealed an ectopic mediastinal parathyroid adenoma. The tumor was removed via collar incision on the neck. Later, the calcium level and parathyroid hormone indicators became normal. Acute pancreatitis in combination with increased level of calcium in blood may indicate the presence of primary hyperparathyroidism. Precise preoperative diagnostics of the location of an adenoma using computer tomography of the neck can make surgical treatment successful.

Keywords

parathyroid gland, ectopia, adenoma, pancreatitis.

Contacts

Зубков Александр Валерьевич — аспирант кафедры анатомии человека, Волгоградский государственный медицинский университет, e-mail: Zubkov.A.V.74.ru@mail.ru