Korean J Nephrol.  2010 Mar;29(2):276-279.

Supernumerary Parathyroid Gland Diagnosed with Contrast-enhanced MDCT after Total Parathyroidectomy

Affiliations
  • 1Korea University College of Medicine Department of Internal Medicine, Korea. yjkwon@korea.ac.kr
  • 2Dowool Internal Medicine Clinic, Korea.

Abstract

We report a case of a 25-year old man with chronic kidney disease with secondary hyperparathyroidism who had persistent elevation of serum parathyroid hormone level after the immediate total parathyroidectomy and autotransplantation. To localize supernumerary (ectopic) parathyroid gland, we checked Tc-99m MIBI scintigraphy, MDCT and PET-CT. Contrast-enhanced MDCT showed a small strong enhancing lesion over left bracheocephalic vein, and PET-CT showed multiple brown tumors. We removed the supernumerary parathyroid gland and got a rapid drop of parathyroid hormone level.

Keyword

Secondary hyperparathyroidism; Parathyroid glands; Tc MIBI; Computed tomography

MeSH Terms

Hyperparathyroidism, Secondary
Parathyroid Glands
Parathyroid Hormone
Parathyroidectomy
Renal Insufficiency, Chronic
Technetium Tc 99m Sestamibi
Veins
Parathyroid Hormone
Technetium Tc 99m Sestamibi
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