Akutní pankreatitida jako cesta k diagnóze primární hyperparatyreózy
[Acute pancreatitis as the road to diagnosis of primary hyperparathyroidism]
Jazyk čeština Země Česko Médium print
Typ dokumentu kazuistiky, anglický abstrakt, časopisecké články
PubMed
11344634
- MeSH
- akutní nemoc MeSH
- hyperparatyreóza komplikace diagnóza MeSH
- infarkt myokardu komplikace MeSH
- lidé MeSH
- pankreatitida komplikace MeSH
- parathormon krev MeSH
- senioři MeSH
- vápník krev MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- parathormon MeSH
- vápník MeSH
The authors present the case of a 78-year-old female patient who was admitted on account of acute pancreatitis complicated by acute myocardial infarction. The authors detected in the patient a serum repeatedly high calcium levels and high levels of intact parathormone. Scintigraphic examination revealed marked foci in the middle of the neck at the level of the inferior pole of the thyroid gland. These examinations confirmed the diagnosis of primary hyperparathyroidism. In view of the patient a serious condition, conservative treatment of hypercalcaemia and acute pancreatitis and myocardial infarction was started. The patient was released into domiciliary care after 40 days in hospital in a state of cardiopulmonary compensation, with cystic transformation of the pancreas and without signs of acute pancreatitis.
