Recurrent acute pancreatitis as an initial presentation of primary hyperparathyroidism: A case report

Figure 1  Abdominal ultrasound demonstrating swollen head of the pancreas with the suggestion of peripancreatic fluid.

Figure 2 Abdominal computed tomography: Pancreas is bulky showing inhomogeneous enhancement, with patchy non-enhancing areas. Internal calcifications are seen. Minimal surrounding inflammatory changes are also noted. The pancreatic duct is dilated.

Figure 3  Ultrasound of the neck showed a large parathyroid adenoma at the inferior lobe pole of the right lobe of the thyroid medially, measuring 207 mm.

Figure 4 Parathyroid scintigraphy with sestaMIBI. Radionuclide parathyroid scintigraphy was carried out following the administration of 550 MBq of Tc-99m sestaMIBI by intravenous injection. Multiple static images were taken starting from the time of injection and continuing up to 4 hours later. An area of abnormal tracer deposition is observed in the lower pole of the right thyroid lobe.