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23 January 2026 : Case report  Poland

Severe Hypocalcemia in Hungry Bone Syndrome After Parathyroid Surgery: A Case Study and Review

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Wojciech Matuszewski ORCID logo ABDEF 1*, Michał Szklarz ORCID logo ABDF 1, Jan Górny ORCID logo CF 1, Bernard Kordas ORCID logo BC 2, Joanna Rutkowska ORCID logo DF 1, Judyta Juranek ORCID logo ACD 2

DOI: 10.12659/AJCR.950046

Am J Case Rep 2026; 27:e950046

Figure 8 Radiological imaging tests performed on the patient. (A) Chest radiograph. Coronal projection. On the right side, the outlines of the posterior arches of ribs VII-IX are very faintly separated. Thickening of the outline of right rib VI in the lateral arch. Areas of thinning of the bone structure of the shaft of the left scapula. Thickening of the outline of the right clavicle shaft with destruction of the sternal end. Streaky atelectatic-fibrous thickening in the lower fields of both lungs. Emphysematous lungs. (B) Clavicles CT. Projection axial. Balloon-like areas of bone structure thinning in the right clavicle shaft, with thickening of the clavicle shaft outline. Widening of the right clavicle-shoulder joint crevice to 11 mm. Stenosis of the shoulder joint in the upper part. Spotty thinning of the bone structure in the area of the head of the right humerus. (C) Tibias radiograph. Projection coronal. Balloon-like areas of thinning of the bone structure with preservation of periosteal continuity, the largest located in the shaft of the right tibia with widening of its outline of about 10.5×3.5 cm, in the proximal epiphysis and shaft of the left tibia of about 10×5 cm, in the shaft of the left fibula about 5×3 cm in size with thickening and slightly uneven periosteal outline on the medial side, with brown tumors. There is slight narrowing of the knee joint crevices in the lateral compartments, and edge sharpening of the upper and lower poles of the patella bilaterally, most likely on a degenerative background. (D) Head CT. Projection axial. Projection axial. Sclerotic remodeling of the cranial skeletal system with numerous osteolytic foci – evident on the scans in the bone “window”, the largest foci in the head of the condylar process of the left mandibular branch and another 2 in the frontal bone on the left side.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923