Successful outcome of pregnancy complicated with thyroidectomy-induced hypoparathyroidism and sudden dyspnea. A case report.
Total thyroidectomy is often accompanied with airway problem and hypoparathyroidism leading to infertility and pregnancy losses, and its effects are thus rarely reported on delivery. A patient with postoperative hypoparathyroidism carried a pregnancy to successful delivery, but suffered uncontrollable hypocalcemia and sudden respiratory distress at spontaneous labor onset. Both the fetal and maternal outcome were good. The acute deterioration in the hypoparathyroidism and airway problem at labor differed from the complications in previously reported cases.
Furui
T
T
Department of Obstetrics and Gynecology, Gifu University School of Medicine, Japan.
Imai
A
A
Tamaya
T
T
D000231:Adenocarcinoma, Papillary / Q000601:surgery; D000328:Adult; D002118:Calcium / Q000097:blood; D002125:Calcium Gluconate / Q000627:therapeutic use; D002585:Cesarean Section; D004417:Dyspnea / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000188:drug therapy / Q000209:etiology; D007011:Hypoparathyroidism / Q000188:drug therapy / Q000209:etiology*; D007773:Lactates / Q000627:therapeutic use; D019344:Lactic Acid; D007819:Laryngeal Edema / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000601:surgery; D011256:Pregnancy Outcome; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000009:adverse effects*; D014140:Tracheotomy
D007773:Lactates; D019344:Lactic Acid; D002125:Calcium Gluconate; D002118:Calcium