Unraveling the Intricacies of Acute Respiratory Distress Syndrome in Metastatic Parathyroid Carcinoma After Laser lung Metastatectomy

Acute respiratory distress syndrome (ARDS) is a rare complication of hypercalcemia resulting from a parathyroid crisis, usually associated with acute kidney injury (AKI).The lack of familiarity with this condition can lead to uncertainty in management, ultimately resulting in severe and fatal outcomes.We are presenting a case of a 50-year-old female who had developed severe hypercalcemia and acute kidney injury (AKI) due to parathyroid carcinoma.Alarmingly, she deteriorated rapidly in the postoperative period after undergoing parathyroidectomy and lung laser metastectomy.She developed acute respiratory distress syndrome (ARDS) on postoperative day 2 with no evidence of cardiogenic pulmonary oedema or fluid overload.Importantly, all infection screenings sent multiple times returned negative.This case highlights the importance of awareness of the complications associated with parathyroid carcinoma and prompt intervention in managing these interconnected conditions.