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Acta Médica Peruana

On-line version ISSN 1728-5917

Abstract

LOPEZ-SANTIESTEBAN, Michelle; YANEZ-SALGUERO, Valeria  and  RIVAS-SEVILLA, Katherine. Giant bladder lithiasis in a patient with primary hyperparathyroidism: report of a case. Acta méd. Peru [online]. 2017, vol.34, n.3, pp.221-224. ISSN 1728-5917.

We report the case of a patient with giant bladder lithiasis and primary hyperparathyroidism. This latter condition characterizes itself by the autonomous production of parathyroid hormone (PTH), leading to hypercalcemia or normal or elevated serum calcium levels, and there are also high values of PTH. Primary hyperparathyroidism must always be taken into account in patients with history of renal calculi, nephrocalcinosis, bone pain, pathological fractures, and subperiosteal reaction. The case is a 16-year old male patient with history of a previous transurethral procedure, who presented in the emergency room with macroscopic hematuria and suprapubic abdominal pain. A simple pelvis X-ray film was taken, which confirmed the presence of a large bladder calculus. The parathyroid hormone value was 335 pg/mL. Patients with history of renal calculi must be studied for determining the presence of parathyroid pathological conditions

Keywords : Urinary bladder calculi; Hyperparathyroidism, primary; Honduras.

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