A Case Report on Recurrent Acute Pancreatitis with Primary Hyperparathyroidism

Authors

  • Mukesh Prasad Sah MD Resident Phase B (Gastroenterology), Department of Gastroenterology, BSMMU, Dhaka
  • Dewan Saifuddin Ahmed Professor, Department of Gastroenterology, BSMMU, Dhaka
  • Syeda Nur E Jannat Jr. Consultant, Medicine, Sarkari Karmachari Hospital, Dhaka
  • Md Alamgir Kabir MD Resident Phase A (Internal Medicine), BSMMU, Dhaka
  • Muhammad Rezeul Huq MD Resident Phase A (Neurology), BSMMU, Dhaka
  • Md Moshiur Rahman Mia MD Resident Phase A (Gastroenterology), BSMMU, Dhaka
  • Muhammad Sayedul Arefin MD Resident Phase B (Gastroenterology), Department of Gastroenterology, BSMMU, Dhaka
  • Md Abdul Wadud MD Resident Phase B (Gastroenterology), Department of Gastroenterology, BSMMU, Dhaka

DOI:

https://doi.org/10.3329/fmcj.v11i1.30879

Keywords:

Acute pancreatitis, Hypercalcemia, Primary hyperparathyroidism, Parathyroid adenoma

Abstract

Pancreatitis is a common non-bacterial inflammatory disease caused by activation, interstitial liberation and auto digestion of pancreas by its own enzymes. Common causes of acute pancreatitis are gall stones, alcohol, drugs, trauma, viral infections and hypertriglyceridemia. Much is known about the causes of pancreatitis but huge experimental data available about understanding of its pathogenesis is still incomplete. Hypercalcemia as a cause of pancreatitis is rarely reported. Hypercalcemia is usually the result of Primary hyperparathyroidism (PHPT) and the most common cause of PHPT is parathyroid adenoma. It is thought that the increased calcium concentration in pancreatic juice resulting from hypercalcemia may prematurely activate proteases. Mutations in different genes have been proposed as well to justify why only some patients with primary hyperparathyroidism and hypercalcemia develop acute pancreatitis. Here we present a case of recurrent acute pancreatitis resulting from hypercalcemia due to parathyroid adenoma in a 38-year-old man. Hyperparathyroidism was suspected when despite severe pancreatitis calcium level remained high and parathormone level was grossly raised

Faridpur Med. Coll. J. Jan 2016;11(1): 36-38

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Author Biography

Mukesh Prasad Sah, MD Resident Phase B (Gastroenterology), Department of Gastroenterology, BSMMU, Dhaka



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Published

2016-12-29

How to Cite

Sah, M. P., Ahmed, D. S., Jannat, S. N. E., Kabir, M. A., Huq, M. R., Mia, M. M. R., Arefin, M. S., & Wadud, M. A. (2016). A Case Report on Recurrent Acute Pancreatitis with Primary Hyperparathyroidism. Faridpur Medical College Journal, 11(1), 36–38. https://doi.org/10.3329/fmcj.v11i1.30879

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Section

Case Reports