RESUMEN
La hipercalcemia secundaria a hiperparatiroidismo primario puede presentarse como un cuadro insidioso y con afectación de múltiples órganos, lo que puede acarrear retraso en su diagnóstico y actuaciones terapéuticas erróneas, por su similitud con otros procesos diferentes. Describimos el caso de una paciente que ingresó en nuestro hospital con el diagnóstico de abdomen agudo y fue intervenida con el resultado de laparotomía en blanco. La tórpida evolución del postoperatorio y la clínica neurológica de la paciente pudieron resolverse tras comprobar la presencia de una importante hipercalcemia secundaria a la presencia de un adenoma paratiroideo(AU)
Hypercalcaemia secondary to primary hyperparathyroidism may present with an insidious clinical picture and involve multiple organs, which may lead to a delay in its diagnosis and erroneous therapeutic actions, due to its similarity to other different conditions. We describe the case of a patient who was admitted to our hospital with the diagnosis of acute abdomen. A laparotomy was performed which was negative. The slow post-operative progress and the clinical neurology of the patient was resolved after checking for the presence of a significant hypercalcaemia secondary to a parathyroid lymph node(AU)
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Abdomen Agudo/complicaciones , Abdomen Agudo/diagnóstico , Abdomen Agudo/tratamiento farmacológico , Laparotomía/métodos , Hiperparatiroidismo/complicaciones , Hiperparatiroidismo/diagnóstico , Hiperparatiroidismo/tratamiento farmacológico , Depresión/complicaciones , Depresión/tratamiento farmacológico , Difosfonatos/uso terapéutico , Abdomen Agudo/fisiopatología , Abdomen Agudo/cirugía , Abdomen Agudo , Choque/complicaciones , Hipercalcemia/complicacionesRESUMEN
Hypercalcaemia secondary to primary hyperparathyroidism may present with an insidious clinical picture and involve multiple organs, which may lead to a delay in its diagnosis and erroneous therapeutic actions, due to its similarity to other different conditions. We describe the case of a patient who was admitted to our hospital with the diagnosis of acute abdomen. A laparotomy was performed which was negative. The slow post-operative progress and the clinical neurology of the patient was resolved after checking for the presence of a significant hypercalcaemia secondary to a parathyroid lymph node.
