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[Nephrolithiasis and primary hyperarathyroidism in pregnancy].
W Ounadi-Corbillé1, A Brinkane, S Benftima-Dutoya
1Service de médecine interne, centre hospitalier de Meulan les Mureaux 1, rue du Fort 78250 Meulan.
Annales D'Endocrinologie
|July 13, 2004
Summary
Diagnosing hyperparathyroidism during pregnancy is rare, especially with kidney stones. This case highlights successful treatment of primary hyperparathyroidism in the third trimester, preventing maternal and fetal complications.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Nephrology
Background:
- Hyperparathyroidism during pregnancy presents diagnostic challenges and risks fetal and maternal complications.
- Primary hyperparathyroidism is uncommon in pregnant individuals, with renal stones being an exceptional finding.
Observation:
- A case of a pregnant individual in the third trimester presenting with renal colic and hypercalcemia.
- Investigations confirmed primary hyperparathyroidism as the underlying cause.
Findings:
- Successful surgical management of primary hyperparathyroidism was achieved during the third trimester.
- The condition, if untreated, can lead to neonatal hypocalcemia and, rarely, in utero death.
Implications:
- Early diagnosis and management of hyperparathyroidism in pregnancy are crucial for positive maternal and neonatal outcomes.
- This case underscores the importance of considering endocrine disorders in pregnant patients with renal complications.
- Treatment options, including surgery, can be considered even in the third trimester for medically resistant hypercalcemia.