Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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공터키안(Empty sella)을 동반한 급성췌장염으로 발현된 부갑상선 선종 1예

A Case of Parathyroid Adenoma Presenting as Acute Pancreatitis Accompanied with Empty Sella

  • 전언주 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 오지혜 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 배경륜 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 장샛별 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 전승운 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 정의달 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 손호상 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 원규장 (영남대학교 의과대학 내과학교실)
  • Jun, Eon-Ju (Department of Internal Medicine, Catholic University of Daegu, School of Medicine) ;
  • O, Ji-He (Department of Internal Medicine, Catholic University of Daegu, School of Medicine) ;
  • Bae, Kyung-Ryun (Department of Internal Medicine, Catholic University of Daegu, School of Medicine) ;
  • Jang, Saet-Byul (Department of Internal Medicine, Catholic University of Daegu, School of Medicine) ;
  • Jun, Seung-Woon (Department of Internal Medicine, Catholic University of Daegu, School of Medicine) ;
  • Jung, Eui-Dal (Department of Internal Medicine, Catholic University of Daegu, School of Medicine) ;
  • Shon, Ho-Sang (Department of Internal Medicine, Catholic University of Daegu, School of Medicine) ;
  • Won, Kyu-Chang (Department of Internal Medicine, College of Medicine, Yeungnam University)
  • 발행 : 2009.06.30
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초록

The incidence of coexisting hyperparathyroidism and empty sella syndrome is rare and the etiology end incidence of their coexistence is not known. The association of hyperparathyroidism and the empty sella syndrome may be related to multiple endocrine neoplasia (MEN) syndrome due to a genetic disorder. We experienced a rare case of hyperparathyroidism presenting as acute pancreatitis combined with empty sella. We report here a 37-year old female who manifested epigastric pain because of acute pancreatitis. She had hypercalcemia due to parathyroid adenoma. A pituitary gland was not visible in the sella turcica on MRI scans. On genetic analysis, she did not show a mutation of the MENIN gene. Empty sella is thought to be a coincidental finding with hyperparathyroidism.

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