Radio-guided parathyroidectomy for recurrent renal hyperparathyroidism caused by graft hyperplasia
Radio-guided surgery offers several advantages in treatment of primary hyperparathyroidism. It is considered less helpful in renal hyperparathyroidism, but it could be of great advantage in the treatment of persistent or recurrent secondary hyperparathyroidism. One of the surgical options for sympto...
Saved in:
| Published in | Acta chirurgica Iugoslavica Vol. 61; no. 3; pp. 73 - 76 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
2014
|
| Online Access | Get full text |
Cover
Loading…
| Summary: | Radio-guided surgery offers several advantages in treatment of primary
hyperparathyroidism. It is considered less helpful in renal
hyperparathyroidism, but it could be of great advantage in the treatment of
persistent or recurrent secondary hyperparathyroidism. One of the surgical
options for symptomatic renal hyperparathyroidism is total parathyroidectomy
with autotransplantation of hyperplastic parathyroid tissue in forearm
muscles or sternocleidomastoid muscle. Recurrence can occur and is most
likely caused by graft hyperplasia. In this report we present the case of
54-year-old woman with recurrent renal hyperparathyroidism caused by
hyperplasia of the graft in sternocleidomastoid muscle. Unfortunately no
sutures or clips were placed at initial surgery to identify the location of
the parathyroid tissue. The preoperative assessment consisting of
99mTc-sestamibi scintigraphy identified a parathyroid tissue in the in the
middle third of sternocleidomastoid muscle. The patient underwent a
radio-guided neck re-exploration that allowed a rapid localization and
excision of the hyperplastic graft.
nema |
|---|---|
| ISSN: | 0354-950X 2406-0887 |
| DOI: | 10.2298/ACI1403073L |