Abstract

Parathyroid adenoma classically presents symptoms of hypercalcaemia. Here, we present a case of a rare presentation of a parathyroid adenoma in a young male patient with a pathological fracture.

Highlights

  • Osteoporosis secondary to hyperparathyroidism is a rare presentation in young patients

  • The case study below illustrates a case of a young male who presents a pathological fracture secondary to giant parathyroid adenoma

  • Primary hyperparathyroidism is due to parathyroid adenoma in 85% of patients, the remainder are due to multiple adenomas and parathyroid cancers

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Summary

CASE PRESENTATION

A 27-years-old male presented to the emergency department with femoral fracture following a fall onto his left hip (Figure 1). He had been previously fit and well though he had developed increasing thirst and lethargy in the preceeding weeks. He was of normal build and nutritional status. Sestamibi scan showed a likely parathyroid adenoma in the right inferior pole of the thyroid gland (Figure 2). An ultrasound of his neck confirmed the finding. Over the subsequent weeks his calcium level rose and at 6 months follow-up his calcium level had returned to normal and he was asymptomatic

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