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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/3450

 
Title :[症例報告]Hypercalcemic crisis associated with primary hyperparathyroidism after aortic surgery in an octogenarian : A Case Report
Authors :Sakuda, Hitoshi
Matsubara, Shinobu
Higa, Noboru
Nakaema, Moriyasu
Miyagi, Kazufumi
Kamada, Yoshihiko
Kuniyoshi, Yukio
Koja, Kageharu
Komiya, Ichiro
Iwamasa, Teruo
Authors affiliation :Second Department of Surgery, Faculty of Medicine, University of the Ryukyus
Second Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
Department of Pathology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
Issue Date :2002
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346888X
0289-1530
Abstract :We report a rare case of hypercalcemic crisis associated with primary hyperparathyroidism after aortic surgery in an octogenarian. An 86-year-old woman with mild liver dysfunction had a successful abdominal aortic aneurysmectomy and Y grafting. Seventeen days after surgery, she suddenly suffered an unexpected hypercalcemic crisis and fell into stupor with flaccid paraplegia. Diagnosis of hyperparathyroidism was made by measurement of serum calcium (14.5mg/100ml) and intact-parathyroid hormone (64 pg/ml). Ultrasonographic examination revealed a 7 mm mass at 1 cm caudal to the left lower pole of the thyroid gland. After medical treatment followed by removal of the mass, the serum calcium returned to normal levels. Her consciousness and activity returned to preoperative state. The resected mass was histologically diagnosed as hyperplasia of the parathyroid gland. Hyperparathyroidism must be ruled out by careful clinical assessment before attributing mental impairment in the elderly to primary senile dementia. The measurement of serum calcium and intact parathyroid hormone levels is important in elderly patients with cognitive impairment who undergo surgery.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/3450
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.21 no.1 p.41 -44
Appears in Collections:Ryukyu Medical Journal

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