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Primary hyperparathyroidism during pregnancy: management by minimally invasive surgery based on ultrasound
Kate M Stringer1, Jenny Gough1, Ian R Gough1
1Wesley Medical Centre, Brisbane, Queensland, Australia.
Background:
Primary hyperparathyroidism in pregnancy has the potential to seriously impact the mother and foetus. Management may be difficult because the condition is usually diagnosed during pregnancy necessitating a rapid decision to proceed with surgery. Minimally invasive surgery is appealing due to shorter operative times and lower risk of complications.
Method:
We present a consecutive series of eight women diagnosed with hyperparathyroidism during pregnancy.
Results:
All eight women were treated successfully by parathyroidectomy during pregnancy with no maternal or foetal complications. Seven of these 8 women were treated with minimally invasive parathyroidectomy based on ultrasound localization.
Conclusion:
Where ultrasound localization is performed by experienced endocrine surgeons, minimally invasive parathyroidectomy is a feasible and safe approach in the pregnant patient with primary hyperparathyroidism.
