January 2012

Hypercalcemia secondary to parathyroid hormone secretion from metastatic lesions in liver

  Parathyroid cancer is a rare malignancy with a prevalence of 0.005% of all registered cancer cases in the United States. Metastases are rare but when they occur the metastatic lesions are usually in the lungs and lymph nodes. There has been only one reported metastasis to the liver in the 233 combined year experience of several major medical centers. A 35-year-old man had 9 metastatic lesions in his liver...

Author(s): Jennifer R. Dubay, Veena Patil, Neha Rickson, Anthony Morrison and David L. Vesely

January 2012

Idiopathic retroperitoneal fibrosis presented as abdominal discomfort and low back pain (IgG4-related disease)

  We presented a 45 year-old male patient in a hospital, who had low back pain and non-specific abdominal discomfort for duration of 2 weeks. Abdominal Computed Tomography (CT) showed retroperitoneal Para aortic mass at lower aortic roots before bifurcation and elevated C-RP. Unfortunately, the patient refused to do biopsy, and has a history of amlodipine usage with a very high suspicion of idiopathic...

Author(s): Ala’ Mohamed Aqel Elayyan