Background and aim: Parathyroid adenoma-induced hypercalcemia and acute pancreatitis are known but rare.
Case description: We report a case of 30 years male patient, nonalcoholic with acute pancreatitis associated with hypercalcemia as the first manifestation of primary hyperparathyroidism (PHPT). A parathyroid nuclear scan suggested parathyroid adenoma of the left inferior parathyroid gland. Initially, acute pancreatitis was treated conservatively. The patient subsequently underwent surgical resection of the parathyroid adenoma. Postoperatively, his clinical symptoms of pancreatitis did not subside with no improvement in ultrasonography. He was readmitted and a surgical cystogastrostomy was performed.
Conclusion: Some mechanisms have been proposed for its pathophysiology. We aim to treat the causative factor.
Clinical significance: Therefore, the cause of hypercalcemia should be identified at the earliest followed by appropriate treatment.
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