Primary Hyperparathyroidism in Pregnancy Followed by Successful Delivery: a Case Report.
Journal
Clinical laboratory
ISSN: 1433-6510
Titre abrégé: Clin Lab
Pays: Germany
ID NLM: 9705611
Informations de publication
Date de publication:
01 Sep 2021
01 Sep 2021
Historique:
entrez:
20
9
2021
pubmed:
21
9
2021
medline:
23
9
2021
Statut:
ppublish
Résumé
Primary hyperparathyroidism (PHPT) in pregnancy has a negative impact. Effective treatment should be timely adopted. We report a case of a 24-year-old pregnant woman admitted with PHPT, hypercalcemia crisis, hypokalemia, thyroid nodules, hyperthyroidism, and intrauterine single live fetus in the 2nd trimester of pregnancy. Right parathyroidectomy and partial thyroidectomy were timely performed. Postoperative pathology suggested parathyroid adenoma with capsule invasion and thyroid nodules. Postoperative serum PTH and Ca2+ were effectively reduced. Eventually, a healthy fetus was delivered via cesarean at full term. Parathyroidectomy within reasonable operative timing can improve maternal and fetal prognosis in PHPT during pregnancy, especially with concomitant hypercalcemia crisis.
Sections du résumé
BACKGROUND
BACKGROUND
Primary hyperparathyroidism (PHPT) in pregnancy has a negative impact. Effective treatment should be timely adopted.
METHODS
METHODS
We report a case of a 24-year-old pregnant woman admitted with PHPT, hypercalcemia crisis, hypokalemia, thyroid nodules, hyperthyroidism, and intrauterine single live fetus in the 2nd trimester of pregnancy. Right parathyroidectomy and partial thyroidectomy were timely performed. Postoperative pathology suggested parathyroid adenoma with capsule invasion and thyroid nodules.
RESULTS
RESULTS
Postoperative serum PTH and Ca2+ were effectively reduced. Eventually, a healthy fetus was delivered via cesarean at full term.
CONCLUSIONS
CONCLUSIONS
Parathyroidectomy within reasonable operative timing can improve maternal and fetal prognosis in PHPT during pregnancy, especially with concomitant hypercalcemia crisis.
Identifiants
pubmed: 34542984
doi: 10.7754/Clin.Lab.2021.210219
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM