Parathyroid adenoma in a 15-year-old girl with recurrent urolithiasis

Patrycja Kucaba
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Katarzyna Dziadzio-Gąsior
Robert Podlasek
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Piotr Bar
Bartosz Korczowski
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Department of Pediatrics Regional Hospital No.2, Rzeszow, Poland
Department of Pediatrics Regional Hospital No.2, Rzeszow, Poland
Department of General Surgery Clinical Hospital No. 2 in Rzeszow, Rzeszów, Poland
Clinical Department of Pathomorphology, Clinical Hospital No. 2, Rzeszów, Poland
Department of Pediatrics and Pediatric Gastroenterology, College of Medical Sciences, University of Rzeszów, Rzeszów, Poland
Received: 22 September 2022 / Revised: 31 March 2023 / Accepted: 31 March 2023 / Published: 30 June 2023

Abstract

Introduction and aim. The incidence of urolithiasis in children has been growing steadily for several decades, and it accounts for an increasing percentage of hospitalizations. Kidney stones are deposits of various mineral salts. Most of them are composed of calcium, favored by hypercalcemia and hypercalciuria. Primary hyperparathyroidism is one of the reasons for increased calcium levels in the blood. 

Description of the case. A 15-year-old girl was hospitalized due to recurrent urolithiasis. Investigations revealed hypercalcemia with elevated parathyroid hormone. Ultrasound of the thyroid gland showed a local change near the lower pole of its right lobe, and Sestamibi nuclear scan confirmed the presence of the adenoma of the lower right parathyroid gland. Surgical removal of the parathyroid gland with the present adenoma was performed. Calcium and phosphate homeostasis parameters and the kidneys’ ultrasound image were without any significant deviations from the norm.

Conclusion. After finding the cause of recurrent urolithiasis, the applied surgical treatment resolved all disease manifestations. 

 

Cite

Kucaba P, Dziadzio-Gąsior K, Podlasek R, Bar P, Korczowski B. Parathyroid adenoma in a 15-year-old girl with recurrent urolithiasis. Eur J Clin Exp Med. 2023;21(2):424–428. doi: 10.15584/ejcem.2023.2.23.

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