An unusual case of persistent vomiting

Subbarayudu Boda, Srinivas G

Pdf Page Numbers :- 102-105

Subbarayudu Boda^1,* and Srinivas G¹

¹Department of General medicine, GITAM Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh, India.

*Corresponding author: Dr. Subbarayudu boda, Department of General Medicine, GITAM Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh, India. Mobile: 9642620582; Email: subbarayudu.boda@gmail.com

Received 10 April 2017; Revised 28 May 2017; Accepted 12 June 2017; Published 20 June 2017

Citation: Subbarayudu B, Srinivas G. An unusual case of persistent vomiting. J Med Sci Res. 2017; 5(3):102-105. DOI: http://dx.doi.org/10.17727/JMSR.2017/5-19 

Copyright: © 2017 Subbarayudu B et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

A 40-year-old female presented with history of persistent vomitings since 6 months. History of constipation and increased frequency of urination present. History of significant weight loss is present (lost 15kgs in 6 months). Work up for polyuria confirmed diabetes insipidus. Work up for diabetes insipidus revealed hypercalcemia secondary to primary hyperparathyroidism, resulting due to right parathyroid adenoma. Right parathyroid adenectomy was done and postoperatively patient developed hungry bone syndrome, which was treated by supplementing high dose of calcium and vitamin D supplementation.

Keywords: hypercalcemia; polyuria; constipation; hypocalcemia; diabetes insipidus; vomiting