Hypercalcemic hyperparathyroid crisis is a infrequent but life threatening complication of main hyperparathyroidism. It is a infrequent manifestation for primary hyperparathyroidism by reason of parathyroid adenoma presenting with parathyroid storm. Acute hypercalcemic hyperparathyroid crisis is a rapidly developing syndrome characterised by severe hypercalcemia associated with life threatening disturbances in cardiac, renal, cerebral functions. This state should be doubted in acutely ill cases with gastrointestinal appearances, profound dehydration, changed mental state, urinary signs or cardiac arrhythmias. We offer this patients to give emphasis to the significance management of an acute hypercalcemic syndrome and early diagnosis as a result of primary hyperparathyroidism as a cause of an un defined adenoma of the parathyroid gland. We present this patients to give emphasis to the emphasis of early and rigorous treatment of hypercalcemic crisis as a result of parathyroid storm otherwise it could be fatal.
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