Ileana Horattas1, Mark Horattas2* and Elya Vasiliou3
1Department of Suregry, Northeastern Ohio Medical University, USA
2Department of Suregry, Cleveland Clinic Akron General, USA
3Department of Suregry, Summa Akron City Hospitals, USA
Hyperparathyroidism (HPTH) has been recognized as a rare cause of pancreatitis. There may also be an association between surgery for hyperparathyroidism and the subsequent development of acute pancreatitis as well, but there is not a consensus in the published literature. We encountered a patient who developed acute pancreatitis immediately following parathyroidectomy, complicated by the development of a subsequent pancreatic pseudocyst. A subsequent review of one surgeon’s experience with HPTH and pancreatitis over a ten year period revealed only this index case here presented out of a total of the 229 patients undergoing an operation for hyperparathyroidism (0.4% incidence). These findings and a thorough review of the current literature indicate that the relationship between parathyroidectomy and pancreatitis is limited to several case reports and the results of one prospective study that have not been replicated. However, an index of suspicion for the diagnosis of acute pancreatitis should be considered in those patients who may develop abdominal pain following parathyroidectomy for HPTH.
Horattas I, Horattas M, Vasiliou E. Pancreatitis Associated with Parathyroidectomy. Clin Surg. 2017; 2: 1562.