Total Parathyroidectomy: A Surgical Management for Uncontrolled Secondary Hyperparathyroidism in a Patient with End Stage Renal Disease

Authors

  • Jeanne O. Madrid Department of Otorhinolaryngology-Head and Neck Surgery Veterans Memorial Medical Center
  • Celso V. Ureta Department of Otorhinolaryngology-Head and Neck Surgery Veterans Memorial Medical Center

DOI:

https://doi.org/10.32412/pjohns.v23i1.767

Keywords:

Secondary hyperparathyroidism, parathyroidectomy, autotransplantation, end- stage renal disease, hungry bone syndrome, parathyroid hormone

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: One

Result: 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.

Keywords: Secondary hyperparathyroidism, parathyroidectomy, autotransplantation, end- stage renal disease, hungry bone syndrome, parathyroid hormone

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Published

2008-06-30

How to Cite

1.
Madrid JO, Ureta CV. Total Parathyroidectomy: A Surgical Management for Uncontrolled Secondary Hyperparathyroidism in a Patient with End Stage Renal Disease. Philipp J Otolaryngol Head Neck Surg [Internet]. 2008 Jun. 30 [cited 2024 Apr. 24];23(1):25-7. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/767