Delayed Diagnosis and Late Presentation of Primary Hyperparathyroidism in Somalia: A Case Report and Literature Review

Authors

  • Ahmed Adam Osman Department of Radiology, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia
  • Abdihamid Mohamed Ali Department of General Surgery, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia.
  • Ismail Mohamud Abdullahi Department of Pathology, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia
  • Abdullahi Said Hashi Department of Anesthesia, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia.
  • Shuayb Moalim Ali Department of Radiology, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia
  • Mohamed Osman Alasow Department of Radiology, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia
  • Mohamed Osman Omar Jeele Department of Internal medicine, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia
  • Ahmed Abdirahman Hussein Department of Internal Medicine, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia
  • Halil Arslan Department of Radiology, Mogadishu Somali Turkiye Training and Research Hospital, Mogadishu, Somalia

DOI:

https://doi.org/10.58322/stmj.v3i3.53

Keywords:

Primary Hyperparathyroidism, Hypercalcemia, Somalia

Abstract

Primary hyperparathyroidism (PHPT) is a rare endocrine disorder characterized by elevated serum calcium levels due to overproduction of parathyroid hormone (PTH). While parathyroid adenomas are the most common cause, they can present diagnostic and management challenges, especially in resource-limited settings. We present the case of a 51-year-old Somali female with a six-year history of generalized weakness, fatigue, and nonspecific abdominal pain. Laboratory investigations revealed elevated PTH levels (231 ng/ml) and hypercalcemia (14 mg/dl), consistent with PHPT. Cervical ultrasound identified a hypoechoic hypervascular solitary lesion suggestive of a parathyroid adenoma. The patient underwent a successful parathyroidectomy, resulting in the normalization of serum calcium levels and symptomatic relief. Histopathological examination confirmed the diagnosis of parathyroid adenoma. This case underscores the importance of early recognition and intervention in PHPT, particularly in underserved regions where healthcare resources may be limited. Efforts to raise awareness, provide training for healthcare workers, and improve access to diagnostic and treatment modalities are crucial in optimizing outcomes for patients with PHPT.

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Published

2024-07-15

How to Cite

Osman, A. A., Ali, A. M., Abdullahi, I. M., Hashi, A. S., Ali, S. M., Alasow, M. O., … Arslan, H. (2024). Delayed Diagnosis and Late Presentation of Primary Hyperparathyroidism in Somalia: A Case Report and Literature Review. Somalia Turkiye Medical Journal (STMJ), 3(3), 74–79. https://doi.org/10.58322/stmj.v3i3.53

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