ABSTRACT
BACKGROUND: Primary hyperparathyroidism (PHPT) is characterized by an increase in parathyroid hormone (PTH) and hypercalcemia, which, when present during pregnancy, increases both maternal and fetal morbidity and mortality. OBJECTIVE: Emphasize the importance of surgical intervention in primary hyperparathyroidism during pregnancy. CLINICAL CASE: A 27-year-old female with a pregnancy of 27.2 weeks of gestation, with a diagnosis of symptomatic primary hyperparathyroidism secondary to parathyroid adenoma, a history of nephrolithiasis and severe acute pancreatitis, surgery was decided upon finding intrathyroid right parathyroid adenoma, post-surgical course with adequate evolution and remission of hyperparathyroidism. CONCLUSIONS: Parathyroidectomy in primary hyperparathyroidism during pregnancy is safe.
INTRODUCCIÓN: El hiperparatiroidismo primario (HPTP) se caracteriza por un aumento de la hormona paratiroidea (PTH) e hipercalcemia, que aumenta la morbimortalidad materna y fetal cuando se presenta durante el embarazo. OBJETIVO: Enfatizar la importancia de la intervención quirúrgica en el hiperparatiroidismo primario durante el embarazo. CASO CLÍNICO: Paciente femenino de 27 años de edad con embarazo de 27.2 semanas de gestación, con diagnóstico de hiperparatiroidismo primario sintomático secundario a adenoma paratiroideo, antecedentes de nefrolitiasis y pancreatitis aguda grave; al decidir realizar un procedimiento quirúrgico se identificó un adenoma paratiroideo derecho intratiroideo; el curso posquirúrgico mostró adecuada evolución y remisión del hiperparatiroidismo. CONCLUSIÓN: La paratiroidectomía en el hiperparatiroidismo primario durante el embarazo es segura.
Subject(s)
Adenoma/complications , Hyperparathyroidism, Primary/etiology , Parathyroid Neoplasms/complications , Parathyroidectomy , Pregnancy Complications, Neoplastic/surgery , Acute Disease , Adenoma/diagnosis , Adenoma/surgery , Adult , Blood Component Transfusion , Calcium/metabolism , Carcinoma, Papillary/diagnosis , Carcinoma, Papillary/surgery , Female , Hormones/blood , Humans , Hypercalcemia/etiology , Hyperparathyroidism, Primary/blood , Incidental Findings , Nephrolithiasis/etiology , Pancreatitis/etiology , Parathyroid Neoplasms/diagnosis , Parathyroid Neoplasms/surgery , Pregnancy , Pregnancy Complications, Neoplastic/blood , Pregnancy Complications, Neoplastic/diagnosis , Thyroid Neoplasms/diagnosis , Thyroid Neoplasms/surgery , ThyroidectomyABSTRACT
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1%. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyand's hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.
Subject(s)
Appendicitis , Hernia, Inguinal , Appendectomy/methods , Appendicitis/complications , Appendicitis/diagnosis , Appendicitis/surgery , Hernia, Inguinal/complications , Hernia, Inguinal/diagnosis , Hernia, Inguinal/surgery , Humans , Male , Middle Aged , Severity of Illness Index , Treatment OutcomeABSTRACT
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1
. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyands hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.
Subject(s)
Appendicitis , Hernia, Inguinal , Appendectomy/methods , Appendicitis/surgery , Appendicitis/complications , Appendicitis/diagnosis , Humans , Hernia, Inguinal/surgery , Hernia, Inguinal/complications , Hernia, Inguinal/diagnosis , Male , Middle Aged , Treatment Outcome , Severity of Illness IndexABSTRACT
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1
. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyands hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.
