A Rare Case of Severe Hypercalcemia Secondary to Atypical Parathyroid Cystic Adenoma with Negative Sestamibi Scan
Ocala Regional Medical Center
hypercalcemia, primary hyperparathyroidism, parathyroid sestamibi scan, parathyroid adenoma
Endocrine System Diseases | Endocrinology, Diabetes, and Metabolism | Internal Medicine | Radiology
The two types of parathyroid cysts are functional and non-functional cysts. Cystic parathyroid lesions are a rare cause of hypercalcemia and often pose a diagnostic challenge due to the reduced detection on preoperative imaging studies. We, herein, present a rare case of an elderly female presenting to the emergency department with altered mental status associated with hypercalcemic crisis and a negative sestamibi scan. Following surgical resection, pathology revealed the diagnosis of cystic parathyroid adenoma and normalization of serum calcium levels.
Publisher or Conference
Monsour E P, Rifai F, Chacko J, et al. (January 31, 2020) A Rare Case of Severe Hypercalcemia Secondary to Atypical Parathyroid Cystic Adenoma with Negative Sestamibi Scan. Cureus 12(1): e6830. doi:10.7759/cureus.6830