Acute pancreatitis is an inflammatory process with multiple etiologies, dominated by biliary lithiasis and alcohol consumption. Primary hyperparathyroidism (PHPT) with subsequent hypercalcemia as a cause of acute pancreatitis is very rare and frequently overlooked and serum calcium level plays a key role in the pathogenesis. Here we present a case of 53 years old female with hypercalcemic acute pancreatitis resulted from primary hyperparathyroidism caused by a left parathyroid adenoma.

Tuberculosis (TB) is an infectious disease that affects mostly the lung, but can also affect other organs. Intestinal and peritoneal tuberculosis are a fraction of extrapulmonary TB with challenging diagnosis due to nonspecific presentation. The diagnosis is based on multiples arguments and bacteriological and histo-pathological findings are the gold standard to establish it. We hereby report the case of uncommon association of peritoneal and terminal ileal tuberculosis in a 46 years old male patient.