title: Primary hyperparathyroidism in pregnancy.
abstract: 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).
authors.affiliation: Department of Obstetrics and Gynecology, University of Udine, Udine, Italy. elena.perin1@tin.it
authors.forename: Elena
authors.initials: E
authors.lastname: Perin
authors.forename: Giovanna
authors.initials: G
authors.lastname: Cacciaguerra
authors.forename: Roberta
authors.initials: R
authors.lastname: Lapenna
authors.forename: Cristina
authors.initials: C
authors.lastname: Catena
authors.forename: Leonardo Alberto
authors.initials: LA
authors.lastname: Sechi
authors.forename: Diego
authors.initials: D
authors.lastname: Marchesoni
mesh_terms: 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