Percutaneous Ethanol Ablation of Parathyroid Adenoma to Acutely Treat Severe Hypercalcemia

L. Khalili, S. Nakhle, B. Ahrari, A. Rahimih, ossein Akhondi Asl
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Abstract

Context: Severe hypercalcemia requires immediate treatment and hospital admission for IV hydration and medical therapy.Case description: 59 year old male presented with serum calcium 14.8 mg/dl, PTH 497 pg/ml, he refused hospital admission or IV treatment in the infusion center. Neck ultrasound identified left parathyroid adenoma with hyper vascularity in the inferior part of the gland. Percutaneous ethanol ablation was done in the office and 2 milliliter of dehydrated alcohol was injected in the hyper vascular part of the gland. Calcium decreased to 12 in 14 hours and to normal range in less than 3 days.Conclusion: PEA of parathyroid adenoma is another option of treatment to sever hypercalcemia, the treatment showed decreases in calcium to a safe level as fast as the current standard of care.
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经皮乙醇消融甲状旁腺瘤急性治疗重度高钙血症
背景:严重的高钙血症需要立即治疗并住院进行静脉补液和药物治疗。病例描述:59岁男性,血清钙14.8 mg/dl, PTH 497 pg/ml,拒绝住院或输液中心静脉治疗。颈部超声发现左侧甲状旁腺瘤,在腺体的下部血管充血。在办公室进行经皮乙醇消融,在腺体的高血管部分注射2毫升脱水酒精。钙在14小时内降至12,不到3天降至正常范围。结论:甲状旁腺瘤的PEA治疗是重度高血钙症的另一种治疗选择,治疗后的钙降至安全水平的速度与目前的护理标准相同。
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