An unusual cause of abdominal pain: thiazide-related hypercalcemia in a patient with veiled hyperparathyroidism and thyroid papillary carcinoma.
Hypercalcemia is an uncommon cause of abdominal pain and may be overlooked in the Emergency Department. In this case report, we describe the case of a 48-year-old woman with a prior history of urolithiasis who presented to the Emergency Department with diffuse abdominal pain. She had taken Trichlormethiazide 1 mg daily for her urolithiasis. She was diagnosed with thiazide-related hypercalcemia; hyperparathyroidism and thyroid papillary carcinoma were unveiled during her hospitalization. A thorough history and complete physical examination, paired with appropriate but judicious diagnostic testing, are essential to detecting these unusual causes of abdominal pain.
Hsu
Hsiang-Chin
HC
Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Chi
Chih-Hsien
CH
Tsai
Ming-Che
MC
Lin
Chih-Hao
CH
D015746:Abdominal Pain / Q000209:etiology*; D002291:Carcinoma, Papillary / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000139:chemically induced* / Q000150:complications; D006961:Hyperparathyroidism / Q000150:complications* / Q000175:diagnosis; D045823:Ileus / Q000209:etiology; D008875:Middle Aged; D049993:Sodium Chloride Symporter Inhibitors / Q000009:adverse effects*; D013964:Thyroid Neoplasms / Q000150:complications / Q000175:diagnosis*; D052878:Urolithiasis / Q000188:drug therapy
D049993:Sodium Chloride Symporter Inhibitors