Childhood parathyroid adenoma: a rare but important cause of nephrolithiasis

Author(s):  
Prema Menon ◽  
Devi Dayal ◽  
Suhitha G. Rao ◽  
Anish Bhattacharya ◽  
Katragadda Lakshmi Narasimha Rao

AbstractPrimary hyperparathyroidism is very rare in children and adolescents. The management of a 12-year-old boy with renal calculi due to parathyroid adenoma is discussed. The single tumor after localization with sestamibi scintigraphy and SPECT-CT scan was excised with amelioration of symptoms. The case is reported due to the rarity of the disease and successful unilateral exploration. The association with hypopigmented areas of skin has also not been previously reported in literature.

2019 ◽  
Vol 2019 (12) ◽  
pp. 519-523 ◽  
Author(s):  
Anthony M Kordahi ◽  
Ron S Newfield ◽  
Stephen W Bickler ◽  
Jun Q Mo ◽  
Paritosh C Khanna ◽  
...  

ABSTRACT We describe a rare presentation of a symptomatic parathyroid adenoma located in an ectopic retropharyngeal position in a 13-year-old boy. Preoperative CT scan and MRI demonstrated the ectopic location of the parathyroid adenoma. The patient underwent successful parathyroidectomy with cure of his hyperparathyroidism. On pathologic exam, the specimen was made up of a parathyroid adenoma and adjacent thymic tissue, indicating that it was likely an undescended lower parathyroid gland arising from the third pharyngeal pouch. Ectopic retropharyngeal parathyroid adenomas are very rare and to our knowledge, none have been previously described in adolescents.


2018 ◽  
Vol 6 (1) ◽  
pp. 20-21
Author(s):  
Dipendra Gautam ◽  
Ishwor Raj Devkota ◽  
Sandesh Mainali ◽  
Bijaya Kumar Chaudhari

Introduction: Parathyroid adenoma is the single most common cause of hyperparathyroidism. Reported incidence of parathyroid adenoma varies widely and is 30- 90%. Approximately 80% to 85% of patients with primary hyperparathyroidism were found to have solitary parathyroid adenoma.The hyperparathyroidism due to parathyroid adenoma may progress insidiously over several years and eventually presents as renal colic or symptoms may manifest over a considerably shorter period of time. Greater than 50% of patients present with nephrolithiasis or nephrocalcinosis. The present case report describes a 48 year old male patient with symptoms of abdominal pain.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015 


2007 ◽  
Vol 35 (4) ◽  
pp. 186-190 ◽  
Author(s):  
Ilaria Grosso ◽  
Antonella Sargiotto ◽  
Patrizia D'Amelio ◽  
Cristina Tamone ◽  
Guido Gasparri ◽  
...  

2020 ◽  
Vol 35 (2) ◽  
pp. 220-223
Author(s):  
Siow Ping Lee ◽  
◽  
Shu Teng Chai ◽  
Leh Teng Loh ◽  
Norhaliza Mod Ali

Primary hyperparathyroidism in children and adolescents is rare and often symptomatic at presentation. A 15-year-old boy presented with bilateral genu valgum for two years. Biochemical results were consistent with primary hyperparathyroidism. Calcium levels normalized two months after removal of a left inferior parathyroid adenoma.


2015 ◽  
Vol 21 (3) ◽  
pp. 116-123
Author(s):  
Adina Ghemigian ◽  
Andra Buruiana ◽  
Maria Olaru ◽  
Nicoleta Dumitru ◽  
A. Goldstein ◽  
...  

ABSTRACT Primary hyperparathyroidism (PHPT) is a frequent endocrine disorder that can only be cured by a surgical procedure that is parathyroidectomy. The main causes are usually solitary benign adenoma (80-85%), diffuse or nodular hyperplasia (10-15%), or parathyroid carcinoma (<1%). Out of the known localization techniques, ultrasonography, nuclear scintigraphy and computer tomography (CT scan) are most commonly used [1]. The aim of this study is to evaluate the sensibility of ultrasonography by comparison to scintigraphy and CT scan for the preoperative localization of parathyroid adenoma in patients with biochemically confirmed primary hyperparathyroidism. Localization studies were correlated with intraoperative findings, histopathological outcomes. In a retrospective study we analyzed 60 patients out of 245 patients who had undergone parathyroidectomy for PHPT between 2012-2013 in the Surgery Department of the National Institute of Endocrinology, Bucharest. Preoperative evaluation included imaging explorations (ultrasonography, scintigraphy and cervical CT scan) and therapeutic success was confirmed by histopathological result and the evolution of hormonal and biochemical tests. Intraoperative exploration revealed a single adenoma in 59 patients and one double adenoma. Thyroid disease was associated in 27 (45%) patients


2017 ◽  
Author(s):  
Cristian Velicescu ◽  
Cristina Gatu ◽  
Alexandru Grigorovici ◽  
Radu Danila ◽  
Valentin Munteanu ◽  
...  

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