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Hyperparathyroidism and portacaval shunt: A syndrome or a coincidence?

✍ Scribed by Ernest Urban; Vincent J. Dindzans; David H. Van Thiel

Publisher: John Wiley and Sons
Year: 1989
Tongue: English
Weight: 270 KB
Volume: 9
Category: Article
ISSN: 0270-9139
DOI: 10.1002/hep.1840090329

No coin nor oath required. For personal study only.

✦ Synopsis

This is a report of six patients with cirrhosis of the liver in whom primary hyperparathyroidism occurred due to a solitary parathyroid adenoma 3 months to 9 years after undergoing emergency portacaval shunt for hemorrhage from esophageal varices. The presenting symptoms in all six patients were weakness and bone pain. Three patients had a bone fracture after insignificant trauma, one and probably two passed kidney stones, and a duodenal ulcer developed in two. Bone x-ray films showed generalized osteoporosis in all patients. Renal function and arterial blood

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