급성 재발성 췌장염으로 발현한 부갑상선 선종 1예
A Case of Parathyroid Adenoma Manifested by Acute Recurrent Pancreatitis
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초록
원발성 부갑상선기능항진증에 의한 고칼슐혈증으로 인해 발생하는 췌장염은 매우 드문 경우로 우리나라에서 최근까지 총 8예가 보고되었으며 재발성 췌장염에 대한 보고는 없었다. 저자 등은 급성 재발성 췌장염으로 발현한 부갑상선 선종에 의한 부갑상선기능항진증 환자를 부갑상선절제술을 통해 치료한 1예를 경험하였다. 부갑상선기능항진증에서 발생하는 급성 췌장염은 임상적으로 드문 질환이나, 신속하고 적절한 검사와 치료가 이루어지지 않으면 병의 경과가 빠르고 치명적일 수 있어서 재발성 췌장염의 경우에 대사성 원인 특히, 부갑상선기능항진증 가능성에 대해서도 고려해야 할 것으로 생각하여 보고하는 바이다.
Abstract
Acute pancreatitis caused by primary hyperparathyroidism-induced hypercalcemia is a rare condition, as acute pancreatitis is typically associated with a decrease in serum calcium levels. If hypercalcemia is present in a patient with acute pancreatitis, the possibility of hyperparathyroidism should be considered, and parathyroid hormone levels should be evaluated and the parathyroid gland imaged. We present a case of a 48-year-old male with acute recurrent pancreatitis caused by hyperparathyroidism. Initially, the acute pancreatitis improved after conservative therapy. However, the patient relapsed 1 month later. The patient had hypercalcemia and was diagnosed with parathyroid adenoma. He underwent surgical resection of the parathyroid adenoma and recovered. After 24 months of the treatment, there was no recurrence of the hypercalcemia or pancreatitis. (Korean J Med 2012;82:362-366)
참고문헌 (10)
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