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JYMS : Journal of Yeungnam Medical Science

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HOME > J Yeungnam Med Sci > Volume 26(1); 2009 > Article
Case Report A Case of Parathyroid Adenoma Presenting as Acute Pancreatitis Accompanied with Empty Sella.
Eon Ju Jun, Ji He O, Kyung Ryun Bae, Saet Byul Jang, Seung Woon Jun, Eui Dal Jung, Ho Sang Shon, Kyu Chang Won
Journal of Yeungnam Medical Science 2009;26(1):63-69
Published online: June 30, 2009
1Department of Internal Medicine, Catholic University of Daegu, School of Medicine, Daegu, Korea.
2Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea.
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The incidence of coexisting hyperparathyroidism and empty sella syndrome is rare and the etiology and incidence of their coexistence is not known. The association of hyperparathyroidism and the empty sella syndrome may be related to multiple endocrine neoplasia (MEN) syndrome due to a genetic disorder. We experienced a rare case of hyperparathyroidism presenting as acute pancreatitis combined with empty sella. We report here a 37-year old female who manifested epigastric pain because of acute pancreatitis. She had hypercalcemia due to parathyroid adenoma. A pituitary gland was not visible in the sella turcica on MRI scans. On genetic analysis, she did not show a mutation of the MENIN gene. Empty sella is thought to be a coincidental finding with hyperparathyroidism.

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