Abstract

In this article, we present a very rare case of acute pancreatitis caused by parathyroid adenoma-induced primary hyperparathyroidism (PHPT). A 27-year-old male was admitted to our hospital with severe abdominal pain, nausea and vomiting. He was under follow-up in the emergency room with the diagnosis of pancreatitis and symptoms associated with hypercalcemia. Biochemical findings suggested PHPT. Scintigraphy showed an increased focal activity under the left lobe of the thyroid gland. The patient underwent minimal invasive parathyroidectomy with preliminary diagnosis of parathyroid adenoma. Histopathological examination confirmed the diagnosis of parathyroid adenoma. The patient had normal serum calcium levels during the clinical follow-up. No recurrence or related complications were reported during one-year follow-up. Clinical improvement was provided by minimal invasive parathyroidectomy in our case. The relationship between acute pancreatitis and parathyroid adenoma should be kept in mind in the differential diagnosis in patients with non-biliar, non-alcoholic acute pancreatitis.