Unilateral Submandibular Gland Atrophy and Sialolithiasis Diagnosed on 99mTc-MIBI SPECT/CT in a Patient With Primary Hyperparathyroidism

Clin Nucl Med. 2017 Dec;42(12):939-940. doi: 10.1097/RLU.0000000000001863.

Abstract

A variety of sequelae of elevated calcium levels are encountered in patients with underlying primary hyperparathyroidism, including stone formation such as calculi in the urinary tract and sialoliths in the salivary glands and ducts. We present a case of a 54-year-old woman with fatigue, myalgia, and poor concentration who was found to have hypercalcemia (corrected calcium, 11.2 mg/dL) and elevated parathyroid hormone level (112 pg/mL), laboratory values consistent with primary hyperparathyroidism. She underwent evaluation with a Tc-MIBI parathyroid SPECT scan that included x-ray CT acquisitions for anatomical localization and attenuation correction.

Publication types

  • Case Reports

MeSH terms

  • Atrophy
  • Female
  • Humans
  • Hyperparathyroidism, Primary / complications*
  • Middle Aged
  • Salivary Gland Calculi / complications*
  • Salivary Gland Calculi / diagnostic imaging*
  • Single Photon Emission Computed Tomography Computed Tomography*
  • Submandibular Gland / diagnostic imaging*
  • Submandibular Gland / pathology*
  • Technetium Tc 99m Sestamibi*

Substances

  • Technetium Tc 99m Sestamibi