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Case Reports
. 2020 Nov;48(11):300060520974229.
doi: 10.1177/0300060520974229.

Bilio-pancreatic diversion: report of a case involving bone metabolism complications

Lidia Santarpia  1 , Enza Speranza  1 , Maria Laura Santopaolo  1 , Maurizio Marra  1 , Fabrizio Pasanisi  1
Affiliations
Case Reports

Bilio-pancreatic diversion: report of a case involving bone metabolism complications

Lidia Santarpia et al. J Int Med Res. 2020 Nov.

Abstract

Prolonged vitamin D deficiency may result in lower calcium absorption and osteoporosis, leading to pathologic fractures. We report the case of a young woman with severe, complicated osteoporosis, which developed several years after biliopancreatic diversion that was performed to treat morbid obesity. Chronic low vitamin D levels provided a continuous stimulus for parathormone secretion, which resulted in parathyroid hyperplasia/adenoma and autonomous production of the hormone.

Keywords: Bilio-pancreatic diversion; hypovitaminosis D; malabsorption; osteoporosis; parathyroid adenoma; quaternary hyperparathyroidism.

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Conflict of interest statement

Declaration of conflicting interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
X-ray showing a sub-trochanteric fracture of the right femur.
Figure 2.
Figure 2.
99-Tc-sestamibi scintigraphy image, showing a hyperfunctioning adenoma of the left inferior parathyroid.
See this image and copyright information in PMC

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