Abstract
Primary hyperparathyroidism is caused by increased secretion of parathyroid hormone and was first described in 1930. Eighty percent are caused by a benign parathyroid adenoma, about 16% may present as ectopic. A 39-year-old female with multiple urinary tract infections, urolithiasis, hypercalcemia and increased parathyroid hormone. Gammagram showed ectopic parathyroid adenoma in superior mediastinum, by transverse cervicotomy, median sternotomy and gamma probe, the lesion was resected without eventualities.
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