A 67 year old male with hypercalcaemia and giant parathyroid adenoma

Abstract

Primary hyperparathyroidism (PHPT) in one of endocrine disorder in which parathyroid gland releases more hormones, one and only behind this parathyroid adenoma. Sometimes giant parathyroid adenoma (GPA) is increase in size above 3cm, this is not cancer but it can cause severe hypercalcaemia. This case is of 67 year old male who presented with fatigue, vertigo, bone pain, polyuria and constipation. Laboratory reports showed parathyroid hormone and calcium level become rises and phosphate level becomes falls. Hence it is clear about primary hyperparathyroidism. By neck ultrasonography and sestamibi scan investigate 29× 20 mm adenoma and by dexa scan showed osteopenia. Performed operation to removed adenoma. After surgery kidney function and calcium level of patient becomes normal. Patient discharged with calcium and vitamin D supplements. This case indicates if patient diagnoses in early time then prevented further bone and kidney damage.

Keywords: Primary hyperparathyroidism, Hypercalcaemia, DEXA Scan, Parathyroid adenoma