Serial pathologic fractures of five long bones on four separate occasions in a patient with primary hyperparathyroidism, challenges of management in a developing country: a case report

  • SA Olatoke
  • OS Agodirin
  • GA Rahman
  • OG Habeeb
  • RO Jimoh
  • BA Ahmed
  • S Biliaminu
  • OO Oyedepo
Keywords: Pathologic fractures, parathyroid adenoma, Primary Hyperparathyroidism, serum calcium, surgery

Abstract

Multiple pathologic fractures secondary to parathyroid adenoma is rarely recognized and reported in the tropics. Inadequate evaluation causes worsened disability and increased psychological stress. We present a 27-year-old Nigerian male student with recurrent unexplained pathological fractures of the long bones. Primary Hyperparathyroidism was later diagnosed and he benefited from a unilateral parathyroidectomy. Primary hyperparathyroidism secondary to parathyroid adenoma is difficult to diagnose and needs a high index of suspicion. Surgery and good  postoperative biochemical control of serum calcium produce satisfying outcomes

Key words: Pathologic fractures, parathyroid adenoma, Primary Hyperparathyroidism, serum calcium, surgery

Published
2014-01-22
Section
Articles

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eISSN: 1937-8688