title: Preoperative needle-localized parathyroidectomy for persistent secondary hyperparathyroidism.
abstract: Several preoperative localization techniques have been developed to assist the surgeon, with varying degrees of accuracy, in identifying the offending gland during reoperative parathyroid surgery. This is a case report of persistent secondary hyperparathyroidism that was treated with preoperative, computed tomography-guided needle localization followed by surgery. The patient underwent successful resection of a hyperplastic fifth parathyroid gland, and her calcium level decreased appropriately postoperatively. This case demonstrates a perioperative localization scheme that reduces operative time, reduces the risk of injury to surrounding structures, and helps to assure cure.
authors.affiliation: Department of Surgery, Carraway Methodist Medical Center, Birmingham, AL 35234, USA.
authors.forename: R H
authors.initials: RH
authors.lastname: Clements
authors.forename: R B
authors.initials: RB
authors.lastname: Kent
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000000981:diagnostic imaging / Q000601:surgery*; D010280:Parathyroid Glands / Q000000981:diagnostic imaging; D016105:Parathyroidectomy; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed