Imaging features of primary hyperparathyroidism
#MMPMID24614783
Lachungpa T
; Sarawagi R
; Chakkalakkoombil SV
; Jayamohan AE
BMJ Case Rep
2014[Mar]; 2014
(?): ? PMID24614783
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Hyperparathyroidism can be primary, secondary or tertiary depending on its
aetiology. Parathyroid adenoma accounts for 80% of cases of primary
hyperparathyroidism. We report a case of a 41-year-old female patient presented
with severe osteoporosis and pathological fracture of right acetabulum and left
intertrochanteric region. The patient had diffuse osteoporosis and multiple
well-defined lytic lesions. A diagnosis of hyperparathyroidism apart from
multiple myeloma and metastasis was made based on the findings of diffuse
osteoporotic changes with multiple lytic lesions. A skeletal survey was performed
in view of the pathological fracture of the femur; findings of the skeletal
survey favoured the diagnosis of hyperparathyroidism. An ultrasound of the neck
was performed to look for the cause and a parathyroid adenoma was picked up in
the inferior aspect of the left lobe of the thyroid gland. CT of the neck was
also performed for preoperative localisation of the lesion. Based on these
findings diagnosis of primary hyperparathyroidism due to parathyroid adenoma was
made. The patient underwent parathyroidectomy and perioperative and
histopathological findings confirmed the preoperative diagnosis.
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