揭示隐藏的罪魁祸首：4D CT在诊断以急性胰腺炎为表现的甲状旁腺瘤中的关键作用

Q4 Medicine

Radiology Case Reports Pub Date : 2025-05-01 DOI:10.1016/j.radcr.2025.02.086

Soham Naik FRCR (UK), Kaushar Vora MBBS, Vipul Solanki MBBS, MD, Manik Kaur FRCR (UK)

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引用次数: 0

摘要

原发性甲状旁腺功能亢进（PHPT）是一种内分泌紊乱，很少与急性胰腺炎一起出现，这是一种重要但罕见的并发症。我们描述了2例患者——一名38岁男性异位甲状旁腺瘤患者和一名20岁男性异位腺瘤患者——均表现为甲状旁腺激素水平升高、高钙血症和复发性急性胰腺炎。在每个病例中，4D计算机断层扫描精确定位腺瘤，使手术切除成功并立即正常化生化异常。这些病例强调了在高钙血症和胰腺炎患者中考虑PHPT的重要性，并强调了4D CT在准确定位腺瘤和最佳手术治疗中的关键作用。

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Unmasking hidden culprits: The pivotal role of 4D CT in diagnosing parathyroid adenoma presenting as acute pancreatitis

Primary hyperparathyroidism (PHPT) is an endocrine disorder that can rarely present with acute pancreatitis, a significant yet infrequent complication. We describe 2 patients—a 38-year-old male with a eutopic parathyroid adenoma and a 20-year-old male with an ectopic adenoma—both presenting with elevated parathyroid hormone levels, hypercalcemia, and recurrent acute pancreatitis. In each case, 4D Computed Tomography precisely localized the adenoma, enabling successful surgical resection and immediate normalization of biochemical abnormalities. These cases underscore the importance of considering PHPT in patients with hypercalcemia and pancreatitis and highlight the pivotal role of 4D CT for accurate adenoma localization and optimal surgical management.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.