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2019, Número S1

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Cir Cir 2019; 87 (S1)


Hiperparatiroidismo durante el embarazo. ¿Es un reto diagnóstico y terapéutico?

Godínez-Vidal AR, Montes de Oca-Durán É, Aguirre-Rojano VI, Pulido-Cejudo A, Paul-Basurto-Kuba EO, Hurtado-López LM

Idioma: Español
Referencias bibliográficas: 22
Paginas: 62-67
Archivo PDF: 314.49 Kb.


RESUMEN

Introducción: El hiperparatiroidismo primario (HPTP) se caracteriza por un aumento de la hormona paratiroidea (PTH) e hipercalcemia, que aumenta la morbimortalidad materna y fetal cuando se presenta durante el embarazo. Objetivo: Enfatizar la importancia de la intervención quirúrgica en el hiperparatiroidismo primario durante el embarazo. Caso clínico: Paciente femenino de 27 años de edad con embarazo de 27.2 semanas de gestación, con diagnóstico de hiperparatiroidismo primario sintomático secundario a adenoma paratiroideo, antecedentes de nefrolitiasis y pancreatitis aguda grave; al decidir realizar un procedimiento quirúrgico se identificó un adenoma paratiroideo derecho intratiroideo; el curso posquirúrgico mostró adecuada evolución y remisión del hiperparatiroidismo. Conclusión: La paratiroidectomía en el hiperparatiroidismo primario durante el embarazo es segura.


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