Searchable abstracts of presentations at key conferences in endocrinology

ea0031p92 | Clinical practice/governance and case reports | SFEBES2013

Life threatening airway obstruction secondary to a large probable parathyroid cyst

McCullough Katherine , Constantinidis Vasilis , Badman Michael , Jackson James , Palazzo Fausto

Parathyroid cysts are rare, usually asymptomatic and typically present as a neck lump. They are most commonly detected in middle-aged women and can occasionally present with compressive symptoms. True parathyroid cysts are non-functional and benign in nature, allowing a more conservative approach to their management in many patients. We present the case of an 82-year-old lady with a past medical history of a presumed parathyroid cyst which was drained by the ENT surgeons. Thre...

ea0048o8 | Oral Communications | SFEEU2017

Time to change the focus with a new treatment for primary aldosteronism

Mills Edouard , Sam Amir , Leen Edward , Jackson James , Meeran Karim , Wernig Florian , Palazzo Fausto

Case history: We report a 56-year-old man who was referred to the Endocrinology Clinic with hypokalaemic hypertension. He had a history of bladder cancer 9-years previously, treated with surgery, chemotherapy and BCG therapy. At referral, he was taking Amlodipine 10 mg and Doxazosin 8 mg twice daily with average home blood pressure readings of 160/90 mmHg.Investigations: Aldosterone to renin ratio (ARR), taken on Doxazosin with potassium 3.6 mmol/l was 3...

ea0034p111 | Clinical practice/governance and case reports | SFEBES2014

A rare case of Cushing's syndrome caused by ‘cyclical’ ectopic ACTH secretion

Behary Preeshila , Kadiyala Raghunath , Falinska Agnieszka , Beckwith Hannah , Jackson James , Mitchell Catherine , Todd Jeannie F

A 61-year-old lady presented with rapid onset of lethargy and reduced mobility with inability to use stairs over 1 month. Prior to this, she was fit and well and was a lifelong non-smoker. At presentation, she was overweight and had evidence of skin bruising and severe proximal myopathy of her legs. A midnight cortisol was >1710 nmol/l with a corresponding ACTH of 610 nmol/l confirming ACTH dependent CushingÂ’s syndrome. Serum potassium was 2.6 mmol/l and a new diagnos...

ea0018p26 | (1) | MES2008

Manubrial split provides adequate exposure for mediastinal exploration for parathyroid adenoma

Lake Edward , Kirkby-Bott James , Imtiaz Fawzia , Jackson James , Palazzo Fausto

Introduction: The traditional approach to mediastinal ectopic parathyroid adenomas has been through a median sternotomy. With improved localization techniques it has become possible to use less invasive approaches to access the mediastinum. We present our recent experience of three cases of mediastinal parathyroid adenomas successfully treated using a manubriotomy approach which provides good access to the superior and anterior mediastinum.Method: All pa...

ea0013p214 | AMEND Young Investigator's Award | SFEBES2007

Optimal strategy for the localisation of biochemical proven insulinomas

Morganstein Daniel , Lewis Danielle , Jackson James , Fleming William , Isla Alberta , Lynn John , Devendra Senen , Meeran Karim , Todd Jeannie

Insulinomas, although rare, cause significant morbidity. They are frequently small at diagnosis. Whilst this means they are frequently curable by surgery, it makes localisation of the tumour difficult. However the importance of accurate pre-operative localisation is essential especially since laparoscopic surgery has been developed, which allows a minimally invasive approach to be used, but makes it vital that multiple tumours are identified pre-operatively.<p class="abste...