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The patient was successfully discharged from hospital. This is the first case of acute pancreatitis caused by primary hyperparathyroidism associated with paraneoplastic syndrome. This is the first case of acute pancreatitis caused by primary hyperparathyroidism associated with paraneoplastic syndrome. Imperforate hymen is a rare obstructive anomaly of the female reproductive tract. It is associated with complications, such as cyclical abdominal pain, urinary retention, and pelvic mass. A 13-year-old girl presented several times to the e