Recurrent secondary hyperparathyroidism due to implanted parathyroid tissue: a case report.
Hyperparathyroidism is a common complication of chronic renal failure. Although many patients can be managed by conservative measures, surgery is sometimes necessary. One of two operations can be performed: subtotal parathyroidectomy or total parathyroidectomy with reimplantation of parathyroid tissue into muscle. A case is presented of a patient who underwent the first and then the second of these procedures for recurrent hyperparathyroidism. A further recurrence was found to be caused by the implanted parathyroid tissue in a forearm muscle, requiring a third procedure for control of the disorder.
Penington
A
A
Department of General Surgery, Royal Melbourne Hospital, Victoria.
Ihle
B
B
Billson
V
V
Clunie
G J
GJ
D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000150:complications / Q000209:etiology / Q000601:surgery; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000637:transplantation*; D011183:Postoperative Complications / Q000209:etiology*; D012008:Recurrence; D012086:Reoperation; D012092:Replantation; D014182:Transplantation, Autologous