Acute pancreatitis connected with hypercalcemia crisis in hyperparathyroidism: A case report

Figure 1 Abdomen computed tomography scan and magnetic resonance imaging. A-C: Abdomen computed tomography demonstrated double kidney stones and a swelling pancreas. The exudation is focused on the surrounding of pancreas body and tail; D-F: Abdomen magnetic resonance imaging similarly revealed pancreatic tail contusion and exudative changes around the pancreas. There were no obvious changes in the biliary system.

Figure 2 Ultrasonography of neck showed a 3. 0 cm × 2.0 cm hypoechoic solid lesion posterior to right lobe of thyroid.

Figure 3 Changes of the concentration of parathyroid hormone and Ca²⁺. The statistics reveals the expression changes of the concentration of parathyroid hormone (PTH) and Ca²⁺ during the period of admission. The operation was performed on the fourth day. Before the operation, the concentration of Ca²⁺ was maintained at a high-level. Both PTH and Ca²⁺ decreased dramatically and returned to normal levels after the operation.

Figure 4 Resected specimen showed a 3. 0 cm × 2.0 cm hyperplastic material parathyroid mass after excision (A) and histopathology: right parathyroid adenoma (B). Magnification, x 100.