Acute necrotizing pancreatitis as first manifestation of primary hyperparathyroidism

Figure 1 Abdominal computed tomography scan at the level of the pancreas. A: On the day of admission showing acute exudative pancreatitis. Note the history of a right nephrectomy; B: On day 20 showing the development of pancreatic pseudocysts and few remnants of normal pancreatic tissue.

Figure 2 99mTc-Sestamibi scintigraphy showing a lower left side parathyroid adenoma. A: Thyroid SKM: SK ELUAAT, -Tc-99mANT; B: Parathyroid SKM: SK MIBI, -Tc-99mH1; C: Normalized subtracted f = 1; D: Registered parathyroid; E: Normalized subtracted f = 1.25; F: Normalized parathyroid f = 1.25; G: Smoothed subtracted f = 1.25.

Figure 3 Abdominal magnetic resonance imaging at the level of the pancreas showing debris in the pancreatic pseudocyst.