Necrotizing Pancreatitis, an unusual presentation of longstanding Primary Hyperparathyroidism

Abstract

Acute Necrotizing pancreatitis can be a rare, but first presentation of longstanding primary hyperparathyroidism. Acute pancreatitis was first described as a rare complication of Primary Hyperparathyroidism in the Annals of Surgery by Cope et al. in 1957, with an incidence rate of pancreatitis of 1.5 % - 7%. We present an interesting case of long-standing primary hyperparathyroidism presenting initially as necrotizing pancreatitis complicated by severe hypocalcaemia in a young woman secondary to hungry bone syndrome after a parathyroidectomy.