[Polydipsia, increasing fatigue and a huge mediastinal tumor in a 49-year-old woman].

Abstract

A 49-year-old woman presented with unspecific symptoms including polydipsia, increasing fatigue for several weeks, and vague abdominal pain. Serum calcium (5.30 mmol/l; normal range 2.00-2.60) and parathyroid hormone levels (> 2500.0 ng/l; normal range 15.0-68.0) were extremely elevated. Imaging studies showed a huge mediastinal tumor. Based on these findings a hypercalcemic crisis caused by primary hyperparathyroidism was diagnosed. After intensive care treatment and further diagnostic procedures, the patient's parathyroid adenoma was removed by parathyroidectomy. The postoperative course was uneventful.

• Authors: T Friedrich, C Rust, G Bischoff, J G Wechsler, T Jakobs, N Woehrle, F Brettner, H Winter, M Angele, B Wendl
• Journal: Der Internist (Internist (Berl)) Vol. 54 Issue 11 Pg. 1376-82 (Nov 2013) ISSN: 1432-1289 [Electronic] Germany
• Vernacular Title: Polydipsie, zunehmende Müdigkeit und große mediastinale Raumforderung bei einer 49-jährigen Patientin.
• PMID: 24026792 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Abdominal Pain (diagnosis, etiology, prevention & control)
• Adenoma (complications, diagnosis, surgery)
• Diagnosis, Differential
• Fatigue (diagnosis, etiology, prevention & control)
• Female
• Humans
• Mediastinal Neoplasms
• Middle Aged
• Parathyroid Neoplasms (complications, diagnosis, surgery)
• Parathyroidectomy
• Polydipsia (diagnosis, etiology, prevention & control)
• Treatment Outcome