PT - JOURNAL ARTICLE AU - Nogues, Juan Carlos AU - Cox, Robert AU - Mulcahy, Collin AU - Benito, Daniel AU - Goodman, Joseph TI - Incidentally discovered severe hypercalcaemia from a functioning parathyroid cyst: the limitations of intraoperative parathyroid hormone (IOPTH) monitoring AID - 10.1136/bcr-2020-239119 DP - 2021 May 01 TA - BMJ Case Reports PG - e239119 VI - 14 IP - 5 4099 - http://casereports.bmj.com/content/14/5/e239119.short 4100 - http://casereports.bmj.com/content/14/5/e239119.full SO - BMJ Case Reports2021 May 01; 14 AB - Parathyroid cysts (PCs) are rare pathologies and are typically non-functional (do not secrete parathyroid hormone (PTH)). The aetiology of PCs is highly debated, and management is complex. We present a unique case of a parathyroid adenoma contained within a functional PC and highlight the limitations of intraoperative PTH monitoring during the surgical resection of functional PCs.