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2019, Number S1

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Cir Cir 2019; 87 (S1)

Hyperparathyroidism during pregnancy. Is it a diagnostic and therapeutic challenge?

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

Language: Spanish
References: 22
Page: 62-67
PDF size: 314.49 Kb.


ABSTRACT

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.


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