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Cirugía y cirujanos

On-line version ISSN 2444-054XPrint version ISSN 0009-7411

Abstract

GODINEZ-VIDAL, Ansony R. et al. Hyperparathyroidism during pregnancy. Is it a diagnostic and therapeutic challenge?. Cir. cir. [online]. 2019, vol.87, suppl.1, pp.62-67.  Epub Feb 08, 2022. ISSN 2444-054X.  https://doi.org/10.24875/ciru.19000796.

Background:

Primary hyperparathyroidism (PHPT) is characterized by an increase in parathyroid hormone (PTH) and hypercalcemia, which, when present during pregnancy, increases both maternal and fetal morbidity and mortality.

Objective:

Emphasize the importance of surgical intervention in primary hyperparathyroidism during pregnancy.

Clinical case:

A 27-year-old female with a pregnancy of 27.2 weeks of gestation, with a diagnosis of symptomatic primary hyperparathyroidism secondary to parathyroid adenoma, a history of nephrolithiasis and severe acute pancreatitis, surgery was decided upon finding intrathyroid right parathyroid adenoma, post-surgical course with adequate evolution and remission of hyperparathyroidism.

Conclusions:

Parathyroidectomy in primary hyperparathyroidism during pregnancy is safe.

Keywords : Primary hyperparathyroidism; Parathyroid hormone; Parathyroid adenoma; Parathyroidectomy; Pregnancy.

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