CASE 681: PARATHYROID TUMOR, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, Dr HỒ CHÍ TRUNG, Dr LÊ VĂN TÀI, Dr LÊ TUẤN KHUÊ, Dr BÙI BỈNH HUÂN, Dr TRẦN THANH CƯỜNG , MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 33 year-old male patient with dysuria and nausea.

His 10 year history noted 10 times of long bone fracture, and renal stones and double JJ sonde on the right kidney in hydronephrosis.

Ultrasound detects right hydronephrosis with a sonde JJ, and some renal stones on 2 sides. With experience sonologist herself reveales a left parathyroid tumor next to the lower pole of left lobe of thyroid.

Lab data and X-Rays show a case parathyroid tumor with severe bone complications.

 

Osteogram: Osteoporosis in severe level.

Surgery removes the left parathyroid tumor  and the PTH level rapidly goes down after removing the tumor.

So the patient suffers from the renal stones, and the seveve bone complications from the first time of bone fracture for 10 years. Due to loss  of the bone fracture cause which belongs to the parathyroid tumor, the patient could not understand the relationship between renal stone and bone fractures.