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OMICS Journal of Radiology
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  • Case Report   
  • OMICS J Radiol,

Pathological Fracture as a Complication of Cystic Degeneration of Parathyroid Adenoma

Hanan Abdulaziz Amr1* and Islam Mohamed Eldesouky2
1Department of Radiodiagnosis, Al-Razi Orthopedic Hospital, MOH, Kuwait, State of Kuwait
2Department of Orthopaedic Surgery, Oncology unit, Al-Razi Hospital, Jamal Abdulnaser Street, P.O box 4235, Post Code 13043, Safat, Kuwait
*Corresponding Author : Hanan Abdulaziz Amr, Consultant, Department of Radiodiagnosis, Al-Razi Hospital, Jamal Abdulnaser Street, P.O box 4235, Post Code 13043, Safat, Kuwait, Tel: 0096565574849, Email: [email protected]

Received Date: Aug 06, 2020 / Accepted Date: Aug 24, 2020 / Published Date: Aug 31, 2020

Abstract

Parathyroid cystic adenomas are often misdiagnosed as thyroid cysts. We report a case of haemorrhagic cystic parathyroid adenoma, which presented a diagnostic challenge that led to life-threatening complications. A 46-yearold man who was mis-diagnosed as having a thyroid follicular cyst 4 months ago, presented with pathological fracture right neck femur. Laboratory investigations revealed increased serum calcium, parathyroid hormone, and impaired renal function. Ultrasound examination of the neck showed complex cystic lesion related to the left thyroid lobe. He had medical treatment of hypercalcaemia followed by surgical excision of a 5.5 cm cystic neck mass. He stayed in hospital for 6 months during which the calcium and parathormone returned to normal, his fracture healed, and the bone texture had improved.

Keywords: Case report; Cyst; Adenoma; Hyperparathyroidism; Ultrasound

Citation: Amr HA, Eldesouky IM (2020) Pathological Fracture as a Complication of Cystic Degeneration of Parathyroid Adenoma. OMICS J Radiol 9: 1000330

Copyright: © 2020 Hanan Abdulaziz Amr, this is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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