Abstract
It is presented case report of severe chronic pancreatitis caused by primary hyperparathyroidism with hypercalcemia. State of the woman was complicated by chronic renal failure, bone and nervous system lesion. Comprehensive medical and surgical treatment was made within 2 stages despite a rare combination of diseases that significantly improved patient's state. Case report demonstrates the possibilities of modern diagnosis and surgical treatment of heavy contingent of patients with rare combination of diseases.
Highlights
It is presented case report of severe chronic pancreatitis caused by primary hyperparathyroidism with hypercalcemia
Comprehensive medical and surgical treatment was made within 2 stages despite a rare combination of diseases that significantly improved patient's state
Case report demonstrates the possibilities of modern diagnosis and surgical treatment of heavy contingent of patients with rare combination of diseases
Summary
It is presented case report of severe chronic pancreatitis caused by primary hyperparathyroidism with hypercalcemia. Также была впервые выявлена мочекаменная болезнь, конкремент левой почки, повышение уровня ионизированного кальция до 2,7 ммоль/л, креатинина до 227 мкмоль/л, активности амилазы до 1280 Ед/л (допустимо до 100 Ед/л). При КТ и УЗИ брюшной полости обнаружены две псевдокисты в теле и хвосте поджелудочной железы 20 и 56 мм.
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