A Rare Triad: Hypercalcemia-Induced Necrotizing Pancreatitis Presenting as Severe Diabetic Ketoacidosis

J Investig Med High Impact Case Rep. 2021 Jan-Dec:9:2324709621998477. doi: 10.1177/2324709621998477.

Abstract

Primary hyperparathyroidism (PHPT) typically occurs in persons above 45 years, with a female predominance. PHPT induces a state of hypercalcemia, but acute pancreatitis is a rare sequelae of this hypercalcemia. We report a case of a 31-year-old man with no known medical history who presented in diabetic ketoacidosis with electrolyte abnormalities. His clinical course progressed to multi-organ dysfunction despite correction of metabolic derangements. Further workup led to the discovery of the uncommon triad by which previously undiagnosed PHPT precipitated severe diabetic ketoacidosis.

Keywords: acute pancreatitis; diabetic ketoacidosis; hypercalcemia; primary hyperparathyroidism.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Diabetic Ketoacidosis* / complications
  • Diabetic Ketoacidosis* / diagnosis
  • Female
  • Humans
  • Hypercalcemia* / diagnosis
  • Hypercalcemia* / etiology
  • Hyperparathyroidism, Primary* / complications
  • Hyperparathyroidism, Primary* / diagnosis
  • Male
  • Pancreatitis* / diagnosis
  • Pancreatitis* / etiology