Total parathyroidectomy: A surgical management for uncontrolled secondary hyperparathyroidism in a patient with end stage renal disease.
- Author:
Jeanne O MADRID
;
Celso V URETA
- Publication Type:Case report
- Keywords: Secondary HyperparathyroidismParathyroidectomyAutotransplantationEnd- Stage Renal DiseaseHungry Bone SyndromeParathyroid Hormone
- MeSH: Human; X
- From: Philippine Journal of Otolaryngology Head and Neck Surgery 2008;23(1):25-27
- CountryPhilippines
-
Abstract:
OBJECTIVE: To present the case of an adult patient with end stage renal disease who underwent total parathyroidectomy with autotransplantation for uncontrolled secondary hyperparathyroidism
METHODS:
DESIGN: Case Report
SETTING: Tertiary Hospital
PATIENT: OneRESULT: Total parathyroidectomy with autotransplantation resulted in decrease in parathyroid hormone from a pre-operative value of 1,347pg/mL (15-65 pg/mL) to 28.05 pg/mL. Pruritus disappeared two days after the surgery. Phosphorus and calcium levels were within normal values four days and two months post-operatively, respectively.
CONCLUSION: Total parathyroidectomy with autotransplantation may be a viable surgical option for controlling secondary hyperparathyroidism associated with end stage renal disease and may play an important role in reducing morbidity and mortality among patients with end-stage renal disease.