Incidental primary hyperparathyroidism in a hypercalcaemic woman with tuberculous peritonitis.
We report on a 51-year-old woman with initial hypercalcaemia and unknown ascites. In spite of unyielding laparoscopy, laparotomy showed findings compatible with tuberculous peritonitis (TBP). Unexpectedly, a series of examinations eventually revealed the concurrence of hyperparathyroidism due to a parathyroid adenoma. Anti-tuberculous regimen was given and was uneventful. However, hypercalcaemia was not decreased but sustained at a high level even after anti-tuberculous therapy for 3 months. Parathyroidectomy was performed with subsequent normalisation of hypercalcaemia. The aetiology of hypercalcaemia in a patient with an explored disease able to cause this electrolyte abnormality such as TBP may be a coexistent occult parathyroid adenoma.
Hung
K H
KH
Division of Nephrology, Department of Internal Medicine, Chang Gung Memorial Hospital at Kaohsiung, Taiwan. khung@adm.cgmh.org.tw
Chen
F C
FC
Hu
Y H
YH
Chen
J B
JB
Hsu
K T
KT
D000236:Adenoma / Q000150:complications; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology*; D006961:Hyperparathyroidism / Q000150:complications*; D033162:Incidental Findings; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications; D014395:Peritonitis, Tuberculous / Q000150:complications* / Q000188:drug therapy
D000995:Antitubercular Agents