原發性甲狀旁腺功能亢進致妊娠期急性胰腺炎1例診治并文獻復習_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 胥平湘 , 楊光華 , 鄭陽 , 張國志 ,  王長友

河北聯合大學附屬醫院普通外科（河北唐山 063000）;

Corresponding?author：

王長友, Email: xpx8928@126.com

Keywords：

甲狀旁腺功能亢進; 急性胰腺炎; 妊娠; 診斷; 治療

DOI：

10.7507/1007-9424.20150010

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探討原發性甲狀旁腺功能亢進致妊娠期急性胰腺炎的診斷及治療。方法報道原發性甲狀旁腺功能亢進致妊娠期急性胰腺炎1例，并對國內外相關文獻進行復習，從診斷和治療方面進行總結。結果原發性甲狀旁腺功能亢進致妊娠期急性胰腺炎者，77.8%（14/18）發生于妊娠晚期，72.2%（13/18）表現為腹痛、惡心、嘔吐，61.1%（11/18）的患者血或尿淀粉酶升高，66.7%（12/18）的患者存在高鈣血癥。結論原發性甲狀旁腺功能亢進致妊娠期急性胰腺炎的病例臨床罕見，早期誤診率高，妊娠期行甲狀旁腺切除術是推薦的，但需個體化并結合家屬意愿。

Citation： 胥平湘, 楊光華, 鄭陽, 張國志, 王長友. 原發性甲狀旁腺功能亢進致妊娠期急性胰腺炎1例診治并文獻復習. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(1): 37-39. doi: 10.7507/1007-9424.20150010 Copy

1.	Lee CC, Chao AS, Chang YL, et al. Acute pancreatitis secondary to primary hyperparathyroidism in a postpartum patient:a case report and literature review. Taiwan J Obstet Gynecol, 2014, 53(2):252-255.
2.	Krysiak R, Wilk M, Okopien B. Recurrent pancreatitis induced by hyperparathyroidism in pregnancy. Arch Gynecol Obstet, 2011, 284(3):531-534.
3.	Dahan M, Chang RJ. Pancreatitis secondary to hyperparathyroidism during pregnancy. Obstet Gynecol, 2001, 98(5):923-925.
4.	Hong MK, Hsieh CT, Chen BH, et al. Primary hyperparathyroidism and acute pancreatitis during the third trimester of pregnancy. J Matern Fetal Med, 2001, 10(3):214-218.
5.	Kondo Y, Nagai H, Kasahara K, et al. Primary hyperparathyroidism and acute pancreatitis during pregnancy. Report of a case and a review of the English and Japanese literature. Int J Pancreatol, 1998, 24(1):43-47.
6.	Inabnet WB, Baldwin D, Daniel RO, et al. Hyperparathyroidism and pancreatitis during pregnancy. Surgery, 1996, 119(6):710-713.
7.	Warneke G, Henning HV, Isemer FE, et al. Primary hyperparathyroidism with acute pancreatitis during pregnancy. Dtsch Med Wochenschr, 1988, 113(16):641-643.
8.	Torii A, Suenaga H, Terashima Y, et al. A case of primary hyperparathyroidism diagnosed as acute pancreatitis during pregnancy. J Jpn Soc Clin Surg, 1988, 49:1643.
9.	Rajala B, Abbasi RA, Hutchinson HT, et al. Acute pancreatitis and primary hyperparathyroidism in pregnancy:treatment of hypercalcemia with magnesium sulfate. Obstet Gynecol, 1987, 70(3):460-462.
10.	Kawamata O, Enomoto M, Watanabe T, et al. A case report of acute pancreatitis and hyperparathyroidism in pregnancy. J Jpn Soc Clin Surg, 1987, 48:562-566.
11.	Fabrin B, Eldon K. Pregnancy complicated by concurrent hyperparathyroidism and pancreatitis. Acta Obstet Gynecol Scand, 1986, 65 (6):651-652.
12.	Ito Y, Ishizuka T, Miura K, et al. A case of primary hyperparathyroidism complicated with acute exacerbation of chronicpancreatitis during pregnancy. Nihon Shokakibyo Gakkai Zasshi, 1985, 82(10):2651-2656.
13.	Thomason JL, Sampson MB, Farb HF, et al. Pregnancy complicated by concurrent primary hyperparathyroidism and pancreatitis. Obstet Gynecol, 1981, 57(6):34S-36S.
14.	Hess HM, Dickson J, Fox HE. Hyperfunctioning parathyroid carcinoma presenting as acute pancreatitis in pregnancy. J Reprod Med, 1980, 25(2):83-87.
15.	Levine G, Tsin D, Risk A. Acute pancreatitis and hyperparathyroidism in pregnancy. Obstet Gynecol, 1979, 54(2):246-248.
16.	Bronsky D, Weisbery MG, Gross MC, et al. Hyperparathyroidism and acute postpartum pancreatitis with neonatal tetany in the child. Am J Med Sci, 1970, 260(3):160-164.
17.	Soyannwo MA, Bell M, McGeown MG, et al. A case of acute hyperparathyroidism, with thyrotoxicosis and pancreatitis, presenting as hyperemesis gravidarum. Postgrad Med J, 1968, 44(517):861-866.
18.	Jacob JJ, John M, Thomas N, et al. Does hyperparathyroidism cause pancreatitis? A South Indian experience and a review of published work. ANZ J Surg, 2006, 76(8):740-744.
19.	Felderbauer P, Karakas E, Fendrich V, et al. Pancreatitis risk in primary hyperparathyroidism:relation to mutations in the SPINK1 trypsin inhibitor (N34S) and the cystic fibrosis gene. Am J Gastroenterol, 2008, 103(2):368-374.
20.	Khoo TK, Vege SS, Abu-Lebdeh HS, et al. Acute pancreatitis in primary hyperparathyroidism:a population-based study. J Clin Endocrinol Metab, 2009, 94(6):2115-2118.

1. Lee CC, Chao AS, Chang YL, et al. Acute pancreatitis secondary to primary hyperparathyroidism in a postpartum patient:a case report and literature review. Taiwan J Obstet Gynecol, 2014, 53(2):252-255.
2. Krysiak R, Wilk M, Okopien B. Recurrent pancreatitis induced by hyperparathyroidism in pregnancy. Arch Gynecol Obstet, 2011, 284(3):531-534.
3. Dahan M, Chang RJ. Pancreatitis secondary to hyperparathyroidism during pregnancy. Obstet Gynecol, 2001, 98(5):923-925.
4. Hong MK, Hsieh CT, Chen BH, et al. Primary hyperparathyroidism and acute pancreatitis during the third trimester of pregnancy. J Matern Fetal Med, 2001, 10(3):214-218.
5. Kondo Y, Nagai H, Kasahara K, et al. Primary hyperparathyroidism and acute pancreatitis during pregnancy. Report of a case and a review of the English and Japanese literature. Int J Pancreatol, 1998, 24(1):43-47.
6. Inabnet WB, Baldwin D, Daniel RO, et al. Hyperparathyroidism and pancreatitis during pregnancy. Surgery, 1996, 119(6):710-713.
7. Warneke G, Henning HV, Isemer FE, et al. Primary hyperparathyroidism with acute pancreatitis during pregnancy. Dtsch Med Wochenschr, 1988, 113(16):641-643.
8. Torii A, Suenaga H, Terashima Y, et al. A case of primary hyperparathyroidism diagnosed as acute pancreatitis during pregnancy. J Jpn Soc Clin Surg, 1988, 49:1643.
9. Rajala B, Abbasi RA, Hutchinson HT, et al. Acute pancreatitis and primary hyperparathyroidism in pregnancy:treatment of hypercalcemia with magnesium sulfate. Obstet Gynecol, 1987, 70(3):460-462.
10. Kawamata O, Enomoto M, Watanabe T, et al. A case report of acute pancreatitis and hyperparathyroidism in pregnancy. J Jpn Soc Clin Surg, 1987, 48:562-566.
11. Fabrin B, Eldon K. Pregnancy complicated by concurrent hyperparathyroidism and pancreatitis. Acta Obstet Gynecol Scand, 1986, 65 (6):651-652.
12. Ito Y, Ishizuka T, Miura K, et al. A case of primary hyperparathyroidism complicated with acute exacerbation of chronicpancreatitis during pregnancy. Nihon Shokakibyo Gakkai Zasshi, 1985, 82(10):2651-2656.
13. Thomason JL, Sampson MB, Farb HF, et al. Pregnancy complicated by concurrent primary hyperparathyroidism and pancreatitis. Obstet Gynecol, 1981, 57(6):34S-36S.
14. Hess HM, Dickson J, Fox HE. Hyperfunctioning parathyroid carcinoma presenting as acute pancreatitis in pregnancy. J Reprod Med, 1980, 25(2):83-87.
15. Levine G, Tsin D, Risk A. Acute pancreatitis and hyperparathyroidism in pregnancy. Obstet Gynecol, 1979, 54(2):246-248.
16. Bronsky D, Weisbery MG, Gross MC, et al. Hyperparathyroidism and acute postpartum pancreatitis with neonatal tetany in the child. Am J Med Sci, 1970, 260(3):160-164.
17. Soyannwo MA, Bell M, McGeown MG, et al. A case of acute hyperparathyroidism, with thyrotoxicosis and pancreatitis, presenting as hyperemesis gravidarum. Postgrad Med J, 1968, 44(517):861-866.
18. Jacob JJ, John M, Thomas N, et al. Does hyperparathyroidism cause pancreatitis? A South Indian experience and a review of published work. ANZ J Surg, 2006, 76(8):740-744.
19. Felderbauer P, Karakas E, Fendrich V, et al. Pancreatitis risk in primary hyperparathyroidism:relation to mutations in the SPINK1 trypsin inhibitor (N34S) and the cystic fibrosis gene. Am J Gastroenterol, 2008, 103(2):368-374.
20. Khoo TK, Vege SS, Abu-Lebdeh HS, et al. Acute pancreatitis in primary hyperparathyroidism:a population-based study. J Clin Endocrinol Metab, 2009, 94(6):2115-2118.

Previous Article
Clinical Outcomes of Left Atrial Myxoma Resection via Right Anterolateral Minithoracotomy
Next Article
Modified Fontan Procedure for Complex Congenital Heart Diseases

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

原發性甲狀旁腺功能亢進致妊娠期急性胰腺炎1例診治并文獻復習

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content