Parathyroid Adenoma with Successful Recovery Following Surgical Resection—Case Report

Abstract

Parathyroid adenoma is a parathyroid proliferative disorder where the patients typically present with evidence of primary hyperparathyroidism where the diagnosis is challenging especially in a resource-poor setting like Sri Lanka and requires multiple imaging modalities. We present a case of a 52-year female who presented with non-resolving long-standing back pain for more than 5 years, associated with progressive bilateral hip joint and shoulder joint pain with generalized body aches with prolonged fatigue who was found to have hypercalcemia and later diagnosed with primary hyperparathyroidism and parathyroid adenoma with multinodular goiter. She had a tremendous clinical improvement following the resection of the parathyroid adenoma along with a total thyroidectomy preserving other parathyroid glands. This case concludes that parathyroid adenoma diagnosis requires high clinical suspicion when patients present with vague symptoms and hypercalcaemic symptoms and should proceed with a workup with multiple imaging modalities depending on the availability for early diagnosis to prevent potential complications. Surgical resection of parathyroid adenoma preserving normal gland results in a good prognosis with complete symptomatic relief within a few months.