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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitoní lékaoství, 46, 2000, e. 10, s. 724 - 727 |
Acute Pancreatitis as the Pathway to Diagnosis of Primary Hyperparathyroidism Husová L. 1 , Šenkyoík M. 1 , Lata J. 1 , Hrbková V. 1 , Husa P. 2 , Dolina J. 1 , 1 Interní gastroenterologická klinika FN Brno, pracovišti Bohunice, poednosta prof. MUDr. P. Díti, DrSc. 2 Klinika infekeních chorob FN Brno, pracovišti Bohunice, poednosta doc. MUDr. P. Chalupa, CSc. 3 Oddilení nukleární medicíny FN Brno, pracovišti Bohunice, poednosta MUDr. J. Prášek, CSc. 4 Radiodiagnostická klinika FN Brno, pracovišti Bohunice, poednosta prof. MUDr. K. Benda, DrSc. |
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Summary: 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 pati-
ent s 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 s serious condition, conservative treatment of hypercalcaemia and acute
pancreatitis and myocardial infarction was started. The patient was released into domiciliary
care after 40days in hospital in a state of cardiopulmonary compensation , with cystic transforma-
tion of the pancreas and without signs of acute pancreatitis.
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