Primary Hyperparathyroidism in Pregnancy: Successful Parathyroidectomy during First Trimester

Primary hyperparathyroidism in pregnancy can result in significant maternal and fetal complications. When indicated, prompt parathyroidectomy in the early second trimester is considered the treatment of choice. Pregnant patients with primary hyperparathyroidism who have an indication for parathyroid...

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Published inCase reports in endocrinology Vol. 2018; no. 2018; pp. 1 - 4
Main Authors Magaji, Vasudev, Lynn, Theresa, Dhital, Rashmi, Timilsina, Bidhya, Tachamo, Niranjan, Gabriely, Ilan
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2018
Hindawi
Hindawi Limited
Wiley
Subjects
Adenoma
Care and treatment
Case Report
Case reports
Cinacalcet
Constipation
Endocrinology
Health aspects
Hydration
Hypercalcemia
Hyperparathyroidism
Ionizing radiation
Miscarriage
Mutation
Newborn infants
Pancreatitis
Parathyroid hormones
Pathology
Pregnancy
Pregnant women
Surgery
Thyroid gland
Tumors
Ultrasonic imaging
Vitamin D
Vomiting
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Summary:Primary hyperparathyroidism in pregnancy can result in significant maternal and fetal complications. When indicated, prompt parathyroidectomy in the early second trimester is considered the treatment of choice. Pregnant patients with primary hyperparathyroidism who have an indication for parathyroidectomy during the first trimester represent a therapeutic challenge. We present the case of a 32-year-old primigravida who presented with symptomatic hypercalcemia from her primary hyperparathyroidism. She remained symptomatic despite aggressive conservative management and underwent parathyroidectomy in her first trimester with excellent outcomes.
Bibliography:Academic Editor: Wayne V. Moore
ISSN:2090-6501
2090-651X
DOI:10.1155/2018/5493917