Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis.docVIP

World Journal of Surgical Oncology BioMedCentral Case report Open Access Ectopic paraesophageal mediastinal parathyroid adenoma, a rare cause of acute pancreatitis Christophoros N Foroulis*1, Sotirios Rousogiannis2, Christos Lioupis2, Dimitrios Koutarelos2, Georgia Kassi3 and Athanassios Lioupis2 Address: 1Larissa University Hospital, Department of Cardio-thoracic Surgery, 41110 Larissa, Greece, 2Volos General Hospital, Department of General Surgery, 38221 Volos, Greece and 3Volos General Hospital, 1st Department of Internal Medicine, 38221 Volos, Greece Email: Christophoros N Foroulis* - foroulis@internet.gr; Sotirios Rousogiannis - surgvolo@otenet.gr; Christos Lioupis - surgvolo@otenet.gr; Dimitrios Koutarelos - surgvolo@otenet.gr; Georgia Kassi - surgvolo@otenet.gr; Athanassios Lioupis - surgvolo@otenet.gr * Corresponding author Published: 30 November 2004 Received: 21 May 2004 Accepted: 30 November 2004 World Journal of Surgical Oncology 2004, 2:41 doi:10.1186/1477-7819-2-41 This article is available from: /content/2/1/41 ? 2004 Foroulis et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: The manifestation of primary hyperparathyroidism with acute pancreatitis is a rare event. Ectopic paraesophageal parathyroid adenomas account for about 5%–10% of primary hyperparathyroidism and surgical resection results in cure of the disease. Case presentation: A 71-year-old woman was presented with acute pancreatitis and hypercalcaemia. During the investigation of hypercalcemia, a paraesophageal ectopic parathyroid mass was detected by computerized tomography (CT) scan and 99mTc sestamibi scintigraphy. The tumor was resected via a cervical collar incision and calci