Surgical treatment for primary hyperparathyroidism in pregnancy: A clinical case
- Authors: Ilyicheva E.A.1, Sinitsyn V.A.2, Chonskaya M.A.2, Rozhanskaya E.V.3
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Affiliations:
- Irkutsk Research Center of Surgery and Traumatology
- Irkutsk Regional Clinical Hospital
- Irkutsk Regional Pathoanatomical Bureau
- Issue: No 8 (2017)
- Pages: 121-124
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248023
- DOI: https://doi.org/10.18565/aig.2017.8.121-4
- ID: 248023
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Abstract
Background. Primary hyperparathyroidism is very rarely detected during pregnancy because of the paucity of clinical symptoms and the lack of its history. Medical management of hyperparathyroidism during pregnancy can lead to severe disorders in both the mother and the fetus. A case report. The paper gives the results of examination and treatment in a 31-year-old pregnant woman with a complicated obstetric history. Severe hypercalcemia (more than 3.5 mmol/l) resistant to medical therapy, a high parathyroid hormone level, and a tumor of the left parathyroid gland threw no doubt about the diagnosis. The patient underwent parathyroid adenomectomy with intraoperative monitoring of the time course of changes in intact parathyroid hormone, resulting in the recovery of the patient, carrying of a pregnancy, and birth of a healthy baby. Conclusion. The timely diagnosis and surgical correction of primary hyperparathyroidism in pregnancy is accompanied by elimination of the negative implications of the disease on the course of pregnancy and childbirth.
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About the authors
Elena Alekseevna Ilyicheva
Irkutsk Research Center of Surgery and Traumatology
Email: lena_isi@mail.ru
manager of scientific department of surgery
Vladimir Aleksandrovich Sinitsyn
Irkutsk Regional Clinical Hospital
Email: sinicenva@mail.ru
manager of the regional endocrinologic center
Mariya Aleksandrovna Chonskaya
Irkutsk Regional Clinical Hospital
Email: marijaglbvt@yandex.ru
obstetrician-gynecologist of advisory diagnostic unit of the regional perinatal center
Elena Vyacheslavovna Rozhanskaya
Irkutsk Regional Pathoanatomical Bureau
Email: rozha1974@mail.ru
pathologist
References
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