Korean J Nephrol.
2009 Nov;28(6):704-707.
A Case of Newly Detected Ectopic Mediastinal Parathyroid Gland in Chronic Renal Failure Patient after Parathyroidectomy
- Affiliations
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- 1Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. medsjh@wku.ac.kr
Abstract
- Hyperparathyroidism is one of the most serious complications for hemodialysis patients. Parathyroidectomy is indicated in patients with severe hyperparathyroidsm refractory to medical treatment. An 39- year-old man who were maintained by hemodialysis underwent parathyroidectomy due to tertiary hyperparathyroidism. The level of intact PTH fell after parathyroidectomy but subsequently rose. We checked up the parathyroid gland by MIBI scan and CT. As a result, a mass was found in the anterior mediastinum. So it is important to suspect the ectopic parathyroid gland when the PTH level elevation is persistent after parathyroidectomy in chronic renal failure patient.
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