Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

23

Med J Bakirkoy. 2015; 11(3): 127-130


A paratyhroid adenoma case in intensive care unit: prognosis and treatment approach

Dilek Altun, Güray Demir, Evrim Tülübaş, Zafer Çukurova, Ahmet Turhan.

Abstract
Parathyroid adenoma is the most common cause of primary hyperparathyroidism. More than 80% of the patients are asymptomatic and are usually diagnosed with incidentally detected high serum calcium levels. Concominant elevated levels of serum calcium (Ca++) and parathyroid hormone (PTH) is important in definitive diagnosis. Parathyroidectomy is the definitive treatment for primary hyperparathyroidism. Here, we report a patient with high serum calcium levels related to parathyroid adenoma and treated in intensive care unit (ICU). 54 years old female patient who is under treatment of osteoporosis had the symptoms of muscle weakness, fatigue, dizziness, vomiting, dehydration, polyuria and depression. High serum Ca+ and PTH levels were returned to normal after surgical excision.

Key words: Primary hyperparathyroidism, parathyroid adenoma, surgery



Yoğun bakım ünitesinde paratiroid adenomlu olgu: Prognoz ve tedavi yaklaşımı

Özet
Primer hiperparatiroidizmin en önemli nedeni paratiroid adenomlarıdır. Hastaların %80’den fazlası asemptomatik olup genellikle tesadüfen saptanan yüksek serum kalsiyum seviyeleri ile tanı konur. Tanısında serum kalsiyum (Ca++) ve parathormon (PTH) seviyesi yüksekliğinin bir arada olması önemlidir. Burada, paratiroid adenomuna bağlı yüksek serum kalsiyum seviyeleri olan ve yoğun bakım servisinde tedavi edilen bir kadın hastayı sunduk. Hastamız 54 yaşında olup osteoporoz tedavisi görmekte; kas zayıflığı, yorgunluk, baş dönmesi, kusma, dehidratasyon, poliüri ve depresyon semptomları bulunmaktaydı. Yüksek olan serum Ca++ ve PTH seviyeleri cerrahi eksizyon sonrasında normal değerlerine döndü.

Anahtar Kelimeler: Primer hiperparatiroidizm, paratiroid adenomu, cerrahi



Share this Article


Advertisement
Progress in Orthopedic Science

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons