An unusual case of persistent vomiting

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