A CASE OF SUCCESSFUL ANESTHESIA DURING SURGICAL DELIVERY IN A PATIENT WITH UNDIAGNOSED SEVERE PRIMARY HYPERPARATHYROIDISM


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Resumo

Primary hyperparathyroidism occurs very rarely in fertile women and, when concurrent with full-term pregnancy, these cases are sporadic. A history of hypercalcemia concurrent with pathological fractures may be indicative of primary hyperparathyroidism, which requires that parathyroid hormone concentrations be additionally determined. General anesthesia is the method of choice when these patients undergo surgical delivery. This paper considers a case of successful anesthesia during delivery in a pregnant woman with primary hyperparathyroidism.

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Sobre autores

N. CHIGIRKOV

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: n_chigarkov@oparina4.ru

S. SOKOLOGORSKY

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

E. SHIFMAN

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Bibliografia

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  2. Дедов И.И., Рожинская Л.Я. Этиология, патогенез, клиническая картина, диагностика и лечение первичного гиперпаратиреоза // Остеопороз и остеопатии. — 2010. — № 1. — С. 56—62.
  3. Дубровина Я.А., Рожинская Л.Я. Динамика минеральной плотности кости после хирургического лечения первичного гиперпаратиреоза // Тезисы докладов 3-го Российского конгресса по остеопорозу. — М., —2008. — С. 119—120.
  4. Юсков В.Н. Хирургия в вопросах и ответах. — M.: Медицина, 2007.
  5. The American Association of Clinical Endocrinologists and The American Association of Endocrine Surgeons. Position statement on the diagnosis and management of primary hyperparathyroidism // Endocr. Pract. — 2005. — Vol. 11, № 1. — P. 50—54.

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