Abstract
We report a case of 31-year-old man with acute pancreatitis associated with hypercalcemia as the first manifestation of primary hyperparathyroidism due to benign parathyroid adenoma. After initial, conservative treatment, intact PTH and serum calcium levels improved, which is followed by adenoma resection. Although parathyroid-adenoma-induced hypercalcemia is known to be associated with acute pancreatitis, the medical entity is very uncommon. The pathophysiology of hypercalcemia-induced acute pancreatitis is poorly understood despite proposed mechanisms. Because parathyroid adenoma with hypercalcemia is common, the relationship between hyperparathyroidism and pancreatitis or ossifying fibrosis requires better clarification.