Management of ectopic parathyroid adenoma in pregnancy

Antonio Saad, Luis Pacheco, Maged Costantine

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: During pregnancy, management of refractory hypercalcemia secondary to a parathyroid adenoma must include prompt localization and excision of the mass, irrespective of gestational age. CASE: An 18-year-old woman at 23 weeks of gestation was found to have severe hypercalcemia secondary to primary hyperparathyroidism. She required aggressive intravenous hydration with the addition of furosemide to enhance calcium elimination. After localization of an ectopic adenoma in the mediastinum using nuclear medicine scanning, she underwent a video-assisted thoracoscopic resection of the mediastinal parathyroid adenoma. The patient subsequently had an uneventful delivery at term. CONCLUSION: Physiologic changes during pregnancy may delay the diagnosis of severe hypercalcemia secondary to parathyroid adenomas. When conservative management fails, localization and surgical excision of the adenoma become imperative to achieve the best maternal and perinatal outcomes.

Original languageEnglish (US)
Pages (from-to)478-480
Number of pages3
JournalObstetrics and Gynecology
Volume124
Issue number2 PART2
DOIs
StatePublished - 2014

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Parathyroid Neoplasms
Hypercalcemia
Pregnancy
Adenoma
Primary Hyperparathyroidism
Nuclear Medicine
Furosemide
Mediastinum
Gestational Age
Mothers
Calcium

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Management of ectopic parathyroid adenoma in pregnancy. / Saad, Antonio; Pacheco, Luis; Costantine, Maged.

In: Obstetrics and Gynecology, Vol. 124, No. 2 PART2, 2014, p. 478-480.

Research output: Contribution to journalArticle

Saad, Antonio ; Pacheco, Luis ; Costantine, Maged. / Management of ectopic parathyroid adenoma in pregnancy. In: Obstetrics and Gynecology. 2014 ; Vol. 124, No. 2 PART2. pp. 478-480.
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