Primary hyperparathyroidism in pregnancy.
OBJECTIVE
To determine the management of a patient with primary hyperparathyroidism and the obstetric and neonatologic outcome.


METHODS
Case report.


METHODS
University hospital of Udine, Italy.


METHODS
A 32-year-old black pregnant woman with primary hyperparathyroidism.


METHODS
Hospitalization with observation, nuclear magnetic resonance of the neck, and right parathyroidectomy of the patient in the 15th week of gestation (WG). Monitoring during pregnancy until the delivery.


METHODS
Intrauterine pregnancy preservation and maternal and fetal morbidity and mortality.


RESULTS
After surgery, laboratory and clinical findings remained constant. The fetus' well-being until the delivery was performed with cardiotocography (CTG) and echographic monitoring. Symmetric intrauterine growth restriction was discovered at 37 WG. Cesarean section was performed at 38 +/- 2 WG owing to the CTG trace.


CONCLUSIONS
Nuclear magnetic resonance of the neck in this case was the determining diagnostic exam. Parathyroidectomy, during the second trimester, is the therapeutic gold standard, especially in cases of severe hypercalcemia (>12 mg/dL).
Perin
Elena
E
Department of Obstetrics and Gynecology, University of Udine, Udine, Italy. elena.perin1@tin.it
Cacciaguerra
Giovanna
G
Lapenna
Roberta
R
Catena
Cristina
C
Sechi
Leonardo Alberto
LA
Marchesoni
Diego
D
D015148:Cardiotocography; D002585:Cesarean Section; D005260:Female; D005317:Fetal Growth Retardation; D005865:Gestational Age; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000473:pathology / Q000601:surgery; D007231:Infant, Newborn; D050498:Live Birth; D008279:Magnetic Resonance Imaging; D016105:Parathyroidectomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome