Introduction:

There are few reported cases of acute pancreatitis secondary to primary hyperparathyroidism in children.

Clinical case:

Nine-year-old male patient with significant obesity. His current condition of four days of evolution, with abdominal pain in the epigastrium that progressively increased in intensity. Upon admission, the patient was seriously ill. Pancreatitis was confirmed by laboratory results (lipase 1.805 U/L, amylase 784 U/L) and abdominal tomography (cyst and necrosis of the pancreas). Serum calcium was persistently elevated. Primary hyperparathyroidism was diagnosed by elevated levels of parathyroid hormone (314.4 pg/dL) and parathyroid adenoma identified in ultrasound.

Conclusions:

Primary hyperparathyroidism should be one of the possible causes of pancreatitis in children, particularly when hypercalcemia is detected.

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