Fish Bone that Hooked an Adenoma-Primary Hyperparathyroidism

Abstract: Primary hyperparathyroidism (PHPT) usually presents with one of the classical symptoms hypercalcemia - painful bones, psychic moans, abdominal groans or renal stones. It is well known that many a times PHPT can be asymptomatic. Asymptomatic parathyroid disease identified on screening, when calcium found elevated bone density to unusually low. Impacted fish being reason for neck imaging and thereby leading diagnosis uncommon. Here we present unusual way in which left inferior adenoma was diagnosed 51 year old lady. Keywords: Parathyroid adenoma, Hypercalcemia, Hyperparathyroidism, Foreign body, Fishbone.