International Journal of Women's Health and Reproduction Sciences

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Oct 2015, Vol 3, Issue 4

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Case Report
Successful Conservative Management of Primary Hyperparathyroidism Diagnosed During Pregnancy
Orkun Cetin¹, Murat Atmaca², Zehra Kurdoglu³, Numan Cim¹, Recep Yıldızhan¹, Hanım Guler Sahin¹, Mertihan Kurdoglu⁴
¹Department of Obstetrics and Gynecology, Yuzuncu Yıl University Faculty of Medicine, Van, Turkey ²Department of Internal Medicine, Yuzuncu Yıl University Faculty of Medicine, Van, Turkey ³Department of Obstetrics and Gynecology, Ankara Education and Research Hospital, Ankara, Turkey ⁴Department of Obstetrics and Gynecology, Gazi University Faculty of Medicine, Ankara, Turkey
IJWHR 2015; 3: 217?219 DOI: 10.15296/ijwhr.2015.45 Viewed : 7488 times Downloaded : 9111 times. Keywords : Disease management, Pregnancy, Primary hyperparathyroidism
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Abstract

Introduction: Primary hyperparathyroidism (PHP) a rare condition that leads to severe maternal and fetal complications in pregnancy. In this report, we aimed to present the successful conservative medical treatment of PHP diagnosed during pregnancy. Case Presentation: A 32-year-old pregnant woman was referred to our clinic at 14 weeks of gestation with severe vomiting, chronic constipation and proximal muscle weakness. According to the clinical presentation, PHP was diagnosed on the basis of biochemical and ultrasonographic findings. The patient was treated with high fluid intake, low calcium diet, oral phosphate supplementation and intramuscular injection of calcitonin. At 38 weeks of gestation, healthy infant was delivered by cesarean section with mild preeclampsia. Conclusion: Treatment options of PHP, including medical and surgical therapy are debated in the literature. Early diagnosis and effective management may reduce perinatal mortality and morbidity. Although surgical treatment in the second trimester is the definitive therapy, conservative management can be preferred in mild cases of PHP in pregnancy.