Revista chilena de cirugía
versión On-line ISSN 0718-4026
GONI E, IGNACIO; CAMPUSANO M, CLAUDIA; GEJMAN E, ROGER y ORELLANA B, PILAR. Multiglandular primary hyperparathyroidism with a hyperfunctional intrathyroid gland. Case report. Rev Chil Cir [online]. 2011, vol.63, n.4, pp.418-421. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262011000400015.
We report a 56 years old female, admitted to the hospital for the study of general weakness, constipation, a recent radial fracture, hypercalcemia of 18 mg/dl, hypophosphatemia of 1.2 meq/dl and a serum parathormone (PTH) of 995 pg/ml. A thyroid ultrasound disclosed a nodule of 6 cm diameter. Following emergency management and normalization of the hypercalcemia, that patient was subjected to a total thyroidectomy and parathyroidectomy. The pathological study of the surgical piece showed a multiglandular hyperplasia of the parathyroid glands. One of these was located inside the left thyroid lobe.
Palabras clave : Hyperparathyroidism; parathyroid hyperplasia; hypercalcemia.