CASE 681: PARATHYROID TUMOR, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, Dr HỒ CHÍ TRUNG, Dr LÊ VĂN TÀI, Dr LÊ TUẤN KHUÊ, Dr BÙI BỈNH HUÂN, Dr TRẦN THANH CƯỜNG , MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 33 year-old male patient with dysuria and nausea.

His 10 year history noted 10 times of long bone fracture, and renal stones and double JJ sonde on the right kidney in hydronephrosis.

Ultrasound detects right hydronephrosis with a sonde JJ, and some renal stones on 2 sides. With experience sonologist herself reveales a left parathyroid tumor next to the lower pole of left lobe of thyroid.

Lab data and X-Rays show a case parathyroid tumor with severe bone complications.

 

Osteogram: Osteoporosis in severe level.

Surgery removes the left parathyroid tumor  and the PTH level rapidly goes down after removing the tumor.

 For ten years following the initial bone fracture, the patient has experienced many bone problems, including kidney stones. The patient was not able to comprehend the connection between renal stones and bone fractures because the source of the bone fracture and renal stones, which was a parathyroid tumor, had disappeared.