A case of right parathyroid adenoma and its management
Keywords:Parathyroid adenoma, Primary hyperparathyroidism, Surgical resection
A 33 year old female patient presented with history of body and joint pain with easy fatiguability unable to perform her routine daily activities since 2 months. She also gave history of recurrent urinary tract infections, pain abdomen, loss of appetite and loss of weight. Examination of neck showed no palpable mass. Laboratory data revealed elevated serum calcium levels and parathyroid hormone levels. Contrast enhanced computed tomography of neck showed well-defined soft tissue density lesion measuring 2.6×1.9×1.6 cm in the postero inferior aspect of right lobe of thyroid suggestive of right parathyroid adenoma. Parathyroid imaging (SPECT) 99mTc-MIBI showed focal increased tracer uptake in relation to inferior aspect of right lobe of thyroid gland. NCCT KUB showed bilateral non obstructive renal calculi with medullary nephrocalcinosis. Patient underwent surgical resection under general anesthesia and histopathology confirmed parathyroid adenoma. Following surgery, parathyroid hormone and calcium levels gradually returned to normal levels. Parathyroid adenoma shows excellent prognosis with complete surgical resection.
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