Total Parathyroidectomy: A Surgical Management for Uncontrolled Secondary Hyperparathyroidism in a Patient with End Stage Renal Disease
DOI:
https://doi.org/10.32412/pjohns.v23i1.767Keywords:
Secondary hyperparathyroidism, parathyroidectomy, autotransplantation, end- stage renal disease, hungry bone syndrome, parathyroid hormoneAbstract
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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