Nuray HALİLOĞLU, Esra ÖZKAVUKÇU, Gülden ŞAHİN

Functional parathyroid adenoma diagnosed after stres fractures

Yetmezlik kırıklarında klinik ve radyografik bulgular her zaman belirgin olmayabilir ya da doktoru yanlış yönlendirebilir. Biz burada hareketle artan bel ağrısı ve sabah tutukluğu nedeni ile başvuran ve ilk etapta spondiloartropati lehine değerlendirilen bir hastayı sunuyoruz. Yapılan manyetik rezonans görüntüleme (MRG) ile sakrum ve bilateral iliak kanatta yetmezlik kırıkları saptanan hastada sonuçta laboratuvar ve görüntüleme bulguları ışığında hiperparatiroidizme neden olan bir paratiroid adenomu tesbit edildi ve cerrahi olarak çıkarıldı.

Stres kırıkları sonrasında tanı alan fonksiyonel paratiroid adenomu

Clinical findings and radiographs may be disleading or indefinite in patients with insuff iciency fractures. Herein, we present a patient with low back pain increasing with activity and morning stiff ness, which initially were thought to be due to a spondyloarthropathy. Magnetic resonance imaging (MRI) revealed insuff iciency fractures in the sacrum and iliac wings bilaterally. Finally, laboratory and imaging findings depicted a parathyroid adenoma causing hyperparathyroidism and the adenoma was removed surgically.

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