A case of primary parahyperthyroidism with chief complaint of upper gastrointestinal bleeding
- VernacularTitle:以上消化道出血为主诉的原发性甲状旁腺功能亢进症一例
- Author:
Honghua WU
;
Yanming GAO
;
Xiaohui GUO
- Publication Type:Journal Article
- Keywords:
Hyperparathyroidism, primary;
Gastrointestinal hemorrhage;
Case reports
- From:
Journal of Peking University(Health Sciences)
2003;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
SUMMARY Hyperparathyroidism is the clinical syndrome that results from elevated circulating parathyroid hormones,leading to multiple systems manifestations,and is divided into three kinds: primary, secondary and ternary.This patient’s main chief complaint was intermittent melena for 3 days,with the diagnosis of upper gastrointestinal hemorrhage according to endoscopy. Hypercalcemia, hypophosphatemia and high level of circulating parathyroid hormone and chronic renal failure were also found during hospitalization. Furthermore, MIBI showed a parathyroid adenoma located near the isthmus in the lower part of the left lobe. The patient had undergone nephrectomy because of kidney carcinoma 2 years ago. Primary hyperparathyroidism usually has the common gastrointestinal syndrome , but upper gastrointestinal hemorrhage reported as the chief complaint is rare and we had never seen similar reports before.
