Primary Hyperparathyroidism-Induced Acute Pancreatitis: Case Report and Systematic Review.

PancreasAug 4, 2026 (epub)
Case ReportEndocrinologyGastroenterology

Fei Che, Dongfeng Lv, YaDong Liu et al.

✦ AI-curated · Sources linked

Case in brief

A 61-year-old man presented with acute pancreatitis and severe hypercalcemia, with total serum calcium of 3.54 μmol/L (14.16 mg/dL) and parathyroid hormone of 640.5 pg/mL. Unenhanced abdominal CT showed moderately severe acute pancreatitis. Cervical ultrasonography and 99mTc-MIBI scintigraphy identified a left inferior parathyroid adenoma. After parathyroidectomy, his calcium normalized and symptoms resolved.

What made this case unusual

Acute pancreatitis was the initial manifestation of primary hyperparathyroidism, with a parathyroid adenoma identified as the source of the marked hypercalcemia.

Diagnostic / clinical pearl

Consider primary hyperparathyroidism in idiopathic or recurrent acute pancreatitis; serum calcium and parathyroid hormone testing can identify this treatable cause.

Source

PubMed · PMID 42549662

Published in Pancreas. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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