Author(s)

Luis Eduardo Pérez Sánchez, Julio César Jordan Balanza, Alicia Goya Pacheco, P.E.G. de Chaves Rodríguez, Manuel Barrera Gómez

Endocrine Surgery Unit, Department of General and Digestive Surgery, Hospital Universitario Nuestra Se?ora de Candelaria, Tenerife, Spain.

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.

Hyperparathyroidism, Pregnancy, Surgery

Sánchez, L. , Balanza, J. , Pacheco, A. , de Chaves Rodríguez, P. and Gómez, M. (2016) Primary Hyperparathyroidism in a Twin Pregnancy: A Case Report. Open Journal of Endocrine and Metabolic Diseases, 6, 167-171. doi: 10.4236/ojemd.2016.66022.