Pancreatitis Associated with Parathyroidectomy

Ileana Horattas, Mark Horattas and Elya Vasiliou

Department of Suregry, Northeastern Ohio Medical University, USA
Department of Suregry, Cleveland Clinic Akron General, USA
Department of Suregry, Summa Akron City Hospitals, USA

^*Correspondance to: Mark C. Horattas 

 PDF  Full Text DOI: 10.25107/2474-1647.1562

Abstract

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.

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Cite the article

Horattas I, Horattas M, Vasiliou E. Pancreatitis Associated with Parathyroidectomy. Clin Surg. 2017; 2: 1562.