[Giant parathyroid adenoma causing early recurrence of renal stones].
Primary hyperparathyroidism (PHPT) is not a rare disease. Renal stones are the most frequent complication of PHPT The authors report the case of a patient with giant parathyroid adenoma responsible for early recurrence of renal stones. Ultrasound examination of the neck, parathyroid MRI and Technetium99m-Sestamibi scintigraphy confirmed the parathyroid adenoma. Surgical exploration allowed resection of a giant adenoma (6.5 x 2.5 x 1.5 cm weighing 17 g). In the light of this case, the authors describe the characteristics of HPT define the place of preoperative imaging and emphasize the need for systematic aetiological work-up looking for HPT in all patients with a first episode of renal stones.
Traxer
Olivier
O
Service d'Urologie, Hôpital Tenon, Paris, France. olivier.traxer@tnn.ap-hop-paris.fr
Mouton
Albert
A
Abbecassis
Rémy
R
Tassard
Marc
M
Vigneau
Cécile
C
Gattegno
Bernard
B
Thibault
Philippe
P
D000236:Adenoma / Q000150:complications*; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000209:etiology*; D007682:Kidney Pelvis; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications*; D012008:Recurrence; D013997:Time Factors
Adénome parathyroïdien géant responsable d'une récidive lithiasique précoce.