Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Primary Hyperparathyroidism due to Parathyroid Adenoma

부갑상선 선종에 의한 원발성 부갑상선 기능 항진증

  • Park, Woo-Hyun (Division of Pediatric Surgery, Department of Surgery, Keimyung University Dongsan Medical Center) ;
  • Bae, Byung-Jin (Division of Pediatric Surgery, Department of Surgery, Keimyung University Dongsan Medical Center) ;
  • Choi, Soon-Ok (Division of Pediatric Surgery, Department of Surgery, Keimyung University Dongsan Medical Center)
  • 박우현 (계명대학교 동산의료원 소아외과) ;
  • 배병진 (계명대학교 동산의료원 소아외과) ;
  • 최순옥 (계명대학교 동산의료원 소아외과)
  • Published : 2000.06.30
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Abstract

A case of primary hyperparathyroidism due to parathyroid adenoma is presented. A 14 year-old male was admitted to the hospital comptaining of voiding difficulty. The intravenous pyelogram demonstrated a stone in the proximal one third of the left ureter and marked hydronephrosis of the left kidney. The Tc-99m sestamibi nuclear scan demonstrated a hot spot below the lower pole of the left lobe of the thyroid. Laboratory study demonstrated hypercalcemia (12.4 mg/dL) and elevated parathyroid hormone (143.67 pg/mL). A parathyroid gland located below the lower pole of the left lobe of the thyroid was excised. A parathyroid adenoma, consisting of mainly chief cells was found on pathologic examination. Postoperatively the patient had transient hypocalcemic symptoms, which resolved with administration of calcium preparation and vitamin D.

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