Korean Journal of Nephrology 2009;28(6):704-707.
A Case of Newly Detected Ectopic Mediastinal Parathyroid Gland in Chronic Renal Failure Patient after Parathyroidectomy
Duk Eun Jung, M.D., Jee Eun Choi, M.D., Kang Won Lee, M.D., Yu Min Lee, M.D., Ji Eun Lee, M.D., Hyun Jung Kim, M.D., Seon Ho Ahn, M.D. and Ju Hung Song, M.D.
Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea
증례 : 만성 신부전 환자에서 부갑상샘 절제술 후 종격동에서 발견된 이소성 부갑상샘 1예
정덕은, 최지은, 이강원, 이유민, 이지은, 김현정, 안선호, 송주흥
원광대학교 의과대학 내과학교실
Abstract
Hyperparathyroidism is one of the most serious complications for hemodialysis patients. Parathyroidectomy is indicated in patients with severe hyperparathyroidsm refractory to medical treatment. An 39- year-old man who were maintained by hemodialysis underwent parathyroidectomy due to tertiary hyperparathyroidism. The level of intact PTH fell after parathyroidectomy but subsequently rose. We checked up the parathyroid gland by MIBI scan and CT. As a result, a mass was found in the anterior mediastinum. So it is important to suspect the ectopic parathyroid gland when the PTH level elevation is persistent after parathyroidectomy in chronic renal failure patient.
Key Words: Ectopic, Parathyroid gland, Hyperparathyroidism, Parathyroidectomy


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