Document Detail

Surgical treatment of primary hyperparathyroidism during the third trimester.
MedLine Citation:
PMID:  11975976     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Primary hyperparathyroidism is a rare diagnosis in the third trimester of pregnancy. A 58% fetal complication rate, including perinatal death and preterm labor, following late gestation parathyroidectomy has been reported. These statistics, however, are based on small sample sizes and were reported when our current technology was unavailable. CASE: A 30-year-old woman presented in the early third trimester with primary hyperparathyroidism. Despite conservative management, her ionized calcium level increased to 1.88 mmol/L (normal 1.17-1.33 mmol/L). At 3447 weeks, she had an uncomplicated parathyroidectomy. At 3837 weeks she delivered a 3182-g female infant. Neither the mother nor baby had complications. CONCLUSION: This supports the contention that pregnant women with hyperparathyroidism not controlled by conservative measures can be treated successfully with parathyroidectomy, regardless of gestational age.
Peter F Schnatz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  99     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-04-26     Completed Date:  2002-09-17     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  961-3     Citation Subset:  AIM; IM    
Departments of Obstetrics and Gynecology and Internal Medicine, The University of Connecticut School of Medicine, Farmington, and Hartford Hospital, Hartford, Connecticut, USA.
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MeSH Terms
Hyperparathyroidism / diagnosis,  therapy*
Pregnancy Complications / diagnosis,  therapy*
Pregnancy Outcome
Pregnancy Trimester, Third

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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