Abstract:
OBJECTIVES:Acute hypercalcemia is a serious condition and represents a physician-surgical emergency: the difficulty in setting a precise diagnosis is due to several possibilities that can cause the condition. It is our purpose to critically evaluate the most actual schemes of treatment and the conditions that could favour the appearance of a hypercalcemic acute crisis. MATERIALS AND METHODS:A retrospective study was performed considering 1321 patients (638 primary HPT, 683 secondary or tertiary HPT) operated from 1975 to December 2002 for Primary, Secondary and Tertiary HPT. RESULTS:It should be noticed that out of 638 cases of Primary HPT this syndrome was present in 35 patients (Ca higher than 15 mg/dl): if you compare these cases with the hyperparathyroid population with calcium less than 15 mg/dl it is possible to observe that a double adenoma or a carcinoma were more frequently found in acute HPT, as the cystic appearance of the lesion. The weight of the adenoma and the PTH assay are strictly correlated with the appearance of this syndrome. The mortality rate is also higher (2.8% to 0.1%) than in the hyperparathyroid patient who underwent parathyroidectomy without hypercalcemic crisis. CONCLUSION:These characteristics suggest that an early operation is mandatory in the patients in whom such a possibility could be expected, before serious involvement of the cardiovascular, renal or neuromuscular system. We can point out the rarity of this syndrome in Secondary and Tertiary HPT: just one case in Secondary out of 683 patients operated on from 1975 until December 2002.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Gasparri G,Camandona M,Mullineris B,Raggio E,Vigna S,Dei Poli Msubject
Has Abstractpub_date
2004-05-01 00:00:00pages
321-4issue
3eissn
0003-469Xissn
2239-253Xjournal_volume
75pub_type
杂志文章abstract::"Forgotten" goiter is an extremely rare disease which is defined as a mediastinal thyroid mass found after total thyroidectomy. The authors report their experience of 7 cases of residual mediastinal goiter after total thyroidectomy for substernal goiter. Six patients were female and one male with a median age of 56 ye...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2012-11-01 00:00:00
abstract::Intestinal malrotation is a rare cause of bowel obstruction in adults and it could create a perplexing situation for surgeons not familiar with this pediatric pathology. Symptomatic patients present either acutely with bowel obstruction and intestinal ischemia with a midgut or cecal volvolus, or chronically with vague...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
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更新日期:2010-09-01 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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更新日期:2013-03-01 00:00:00
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journal_title:Annali italiani di chirurgia
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更新日期:1994-01-01 00:00:00
abstract:INTRODUCTION:Actinomycosis is a chronic infection caused by actinomyces species characterized by an abscess formation, tissue fibrosis, and draining sinuses. Primary actinomycosis of the breast is rare. PATIENTS AND METHODS:In this paper we present a 64-year-old postmenopausal woman. For the diagnosis of primary actin...
journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Annali italiani di chirurgia
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更新日期:1999-11-01 00:00:00
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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doi:
更新日期:2016-01-01 00:00:00
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journal_title:Annali italiani di chirurgia
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更新日期:1992-07-01 00:00:00
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journal_title:Annali italiani di chirurgia
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更新日期:2014-03-01 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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journal_title:Annali italiani di chirurgia
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doi:
更新日期:2013-05-01 00:00:00
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2018-07-11 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2014-09-01 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2002-11-01 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2020-01-01 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
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journal_title:Annali italiani di chirurgia
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doi:
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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doi:
更新日期:2005-01-01 00:00:00
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
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