Gastric Outlet Obstruction following Recurrent Pancreatitis Uncovers A Giant Parathyroid Adenoma: A Case Report

Brijesh Singh; Toshib GA; Yashwant Rathore; Shipra Agarwal; Sunil Chumber; Nishikant  Damle

doi:10.15605/jafes.037.01.11

Authors

Brijesh Kumar Singh All India Institute of Medical Sciences, New Delhi, India https://orcid.org/0000-0002-9183-2317
Toshib GA All India Institute of Medical Sciences, New Delhi, India https://orcid.org/0000-0002-1238-7965
Yashwant Singh Rathore All India Institute of Medical Sciences, New Delhi, India https://orcid.org/0000-0002-0229-452X
Shipra Agarwal All India Institute of Medical Sciences, New Delhi, India https://orcid.org/0000-0001-7037-4444
Sunil Chumber All India Institute of Medical Sciences, New Delhi, India
Nishikant Damle All India Institute of Medical Sciences, New Delhi, India

DOI:

https://doi.org/10.15605/jafes.037.01.11

Keywords:

Giant parathyroid adenoma, pancreatitis, gastric outlet obstruction, primary hyperparathyroidism

Abstract

A 35-year-old female presented with abdominal pain, fever, projectile vomiting, and a diffuse tender epigastric mass. She was diagnosed to have acute persistent pancreatitis with a pancreatic pseudocyst. Elevated serum calcium levels provided an etiologic link between hypercalcemia and pancreatitis. On examination, a nodule was found in the left side of her neck which was later diagnosed as a giant left inferior parathyroid adenoma. This report highlights the critical analysis of history, examination, and investigations to reach an ultimate diagnosis. Pseudocyst drainage and parathyroidectomy resolved her symptoms.

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Author Biographies

Brijesh Kumar Singh, All India Institute of Medical Sciences, New Delhi, India

Senior resident, Department of Surgical Disciplines

Toshib GA, All India Institute of Medical Sciences, New Delhi, India

Junior resident, Department of Surgical Disciplines

Yashwant Singh Rathore, All India Institute of Medical Sciences, New Delhi, India

Associate Professor, Department of Surgical Disciplines

Shipra Agarwal, All India Institute of Medical Sciences, New Delhi, India

Associate Professor, Department of Pathology

Sunil Chumber, All India Institute of Medical Sciences, New Delhi, India

Professor and Head, Department of Surgical Disciplines

Nishikant Damle , All India Institute of Medical Sciences, New Delhi, India

Associate Professor, Department of Nuclear Medicine

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