Supernumerary Parathyroid Gland Diagnosed with Contrast-enhanced MDCT after Total Parathyroidectomy.
- Author:
Kichul YOON
1
;
Jeong Yup KIM
;
Jung Sun KIM
;
Sang Won PARK
;
Joon Kwang WANG
;
Young Mo LEE
;
Eun Sil JEON
;
Heui Jung PYO
;
Byung Hee YOO
;
Young Joo KWON
Author Information
1. Korea University College of Medicine Department of Internal Medicine, Korea. yjkwon@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Secondary hyperparathyroidism;
Parathyroid glands;
Tc MIBI;
Computed tomography
- MeSH:
Hyperparathyroidism, Secondary;
Parathyroid Glands;
Parathyroid Hormone;
Parathyroidectomy;
Renal Insufficiency, Chronic;
Technetium Tc 99m Sestamibi;
Veins
- From:Korean Journal of Nephrology
2010;29(2):276-279
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of a 25-year old man with chronic kidney disease with secondary hyperparathyroidism who had persistent elevation of serum parathyroid hormone level after the immediate total parathyroidectomy and autotransplantation. To localize supernumerary (ectopic) parathyroid gland, we checked Tc-99m MIBI scintigraphy, MDCT and PET-CT. Contrast-enhanced MDCT showed a small strong enhancing lesion over left bracheocephalic vein, and PET-CT showed multiple brown tumors. We removed the supernumerary parathyroid gland and got a rapid drop of parathyroid hormone level.
