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Hypercalcaemia in primary hyperparathyroidism: a rare cause of recurrent acute pancreatitis
  1. Prabir Kumar Kundu,
  2. Satyaki Basu,
  3. Uddalak Chakraborty and
  4. Atanu Chandra
  1. Internal Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, India
  1. Correspondence to Dr Atanu Chandra; chandraatanu123{at}gmail.com

Abstract

Hyperparathyroidism leading to hypercalcaemia is a rare cause of acute pancreatitis with debatable association. The diagnosis of hyperparathyroidism is frequently overlooked or delayed as symptoms are non-specific and serum calcium is not routinely measured in acute pancreatitis. Early diagnosis and treatment of hyperparathyroidism may reduce the chances of complications. We report a 35-year-old woman, who was admitted with recurrent episodes of acute pancreatitis. She was previously diagnosed with gall-stone induced acute pancreatitis, had undergone laparoscopic cholecystectomy, but the recurrence of acute pancreatitis suggested an alternative aetiology and provoked extensive investigations. Serum calcium was found to be elevated. No additional risk factor for pancreatitis was found. Further workup revealed primary hyperparathyroidism, which was due to a functioning parathyroid adenoma. She has undergone parathyroidectomy followed by an uneventful recovery. She subsequently conceived and is now in her first trimester, without any recurrence of acute pancreatitis since her surgery.

  • endocrine system
  • gastrointestinal system
  • pancreatitis
  • calcium and bone

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Footnotes

  • Contributors PKK thoroughly evaluated the case and carried out all relevant investigations to arrive at the final diagnosis. He also supervised the manuscript. SB prepared the manuscript and collected relevant data and investigations. UC was the direct care giver of the patient and also helped in revising the manuscript. AC supervised the entire manuscript and also helped in case analysis and reaching to a definite conclusion.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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