Primary Hyperparathyroidism in a Twin Pregnancy: A Case Report
Open Access
- 1 January 2016
- journal article
- Published by Scientific Research Publishing, Inc. in Open Journal of Endocrine and Metabolic Diseases
- Vol. 06 (06), 167-171
- https://doi.org/10.4236/ojemd.2016.66022
Abstract
The primary hyperparathyroidism during pregnancy is an infrequent disorder but it is rarer in a twin gestation. Often it is not suspected because the symptomatology is overlapped with the normal course of pregnancy and it is usually discovered after a routine blood test. Ultrasound is the best option to identify the adenoma, while the gold-standard is technetium-99 m sestamibi but is contraindicated in this situation. The treatment is controversial and depends of the time of the gestation: the medical therapy is accepted in the first and third trimester, and the surgery is reserved for the second trimester, where the side effects are low. We present a case of primary hyperparathyroidism in a twin pregnancy treated by a minimally invasive parathyroidectomy in the second trimester without consequences for both, mother and newborns.Keywords
This publication has 1 reference indexed in Scilit:
- Hyperparathyroidism in Pregnancy: Options for Localization and Surgical TherapyWorld Journal of Surgery, 2010