| Institution: | 1. Ear, Nose, and Throat Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, LKS 4500, Cleveland, OH, United States;2. Case Western Reserve University, School of Medicine, 10900 Euclid Avenue, Cleveland, OH, United States;3. Department of Pathology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, United States |
| Abstract: | BackgroundPrimary hyperparathyroidism (PHPT) is a frequently encountered endocrine disorder due to benign neoplastic lesions or gland hyperplasia. It is often discovered incidentally when routine lab work reveals hypercalcemia.MethodsThis case presents a 55-year-old male with a neck mass and electrolyte irregularities consistent with PHPT. However, his laboratory values suddenly normalized prior to surgery.ResultsPost-operative pathologic analysis of the specimen demonstrated massive infarction of the affected gland, and explained the spontaneous resolution of the patient's electrolyte derangements.ConclusionsThe objective of this case study is to demonstrate the importance of further investigation in patients with fluctuating lab values and emphasize the potential dangers of gland infarction. |
