ECE2023 Poster Presentations Calcium and Bone (83 abstracts)
Surgery of primary hyperparathyroidism during pregnancy: case series
Petr Libánský 1 , Martina Fialová 1 , Jana Jezkova 2 , Mikulas Kosak 2 , Magdalena Matejkova Behanova 3 , Jitka Moravcova 4 , Josef Vcelak 4 , Markéta Vaculová 1 & Robert Lischke 1
1University Hospital Motol, 3rd Surgery Clinic, Prague, Czech Republic; 2Charles University Prague, 3-rd Department of Internal Medicine, Prague, Czech Republic; 3University Hospital Motol, Department of Molecular Endocrinology, Prague, Czech Republic; 4Institute of Endocrinology, Department of Molecular Endocrinology, Prague, Czech Republic
Background: Primary hyperparathyroidism can occur at any age, the typical patient is a postmenopausal woman, primary hyperparathyroidsim is found rare by pregnant women. The maternal symptoms are similar to the symptoms by postmenopausal women.
Materials and methods: Among the years 2000-2022 we have performed 3459 operations (including 6,6% reoperations) with diagnosis of hyperparathyroidism, there were six women, who underwent parathyroidectomy during pregnancy. The median maternal age was 30 years. All women had before operation localization of adenoma by ultrasonography, one woman had localization by the MRI. All woman were operated during the second trimester. Postoperative care was without complication, two patients had parestezie. All patient had genetic testing before or after the operation.
Result: Incidence of primary hyperparathyroidism by pregnant women is rare. By the diagnosis of primary hyperparathyroidism is indicated surgical therapy. The base of localization examination by pregnant women is examination of ultrasonography. Operation in pregnancy would be due in the second trimester. By pregnant women always due the genetic tests.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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