TITLE:
Primary Hyperparathyroidism in a Twin Pregnancy: A Case Report
AUTHORS:
Luis Eduardo Pérez Sánchez, Julio César Jordan Balanza, Alicia Goya Pacheco, P.E.G. de Chaves Rodríguez, Manuel Barrera Gómez
KEYWORDS:
Hyperparathyroidism, Pregnancy, Surgery
JOURNAL NAME:
Open Journal of Endocrine and Metabolic Diseases,
Vol.6 No.6,
June
15,
2016
ABSTRACT: 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 istechnetium-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.