title: Recalcitrant hypocalcemia in a lactating woman after total thyroidectomy for papillary thyroid carcinoma.
abstract: BACKGROUND
  The risk of hypocalcemia after total thyroidectomy is well-described in the literature. Recalcitrant hypocalcemia after thyroidectomy in a lactating woman is uncommon and may require multiple strategies to correct.
  
  
  METHODS
  We present a case report of a lactating woman with papillary thyroid carcinoma requiring total thyroidectomy and neck dissections.
  
  
  RESULTS
  Postoperatively the patient suffered from recalcitrant hypocalcemia which necessitated multiple medical maneuvers to rectify. The medical treatment required to correct the calcium levels is described herein.
  
  
  CONCLUSIONS
  With the incidence of thyroid cancer on the rise and the increased identification of thyroid lesions during pregnancy, the number of lactating women undergoing thyroidectomy will likely increase. Surgeons performing thyroid surgery in this patient population should be aware of the risk of severe hypocalcemia and the tools necessary to correct it.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI, USA. donat037@umn.edu
authors.forename: Amy Anne D
authors.initials: AA
authors.lastname: Lassig
authors.forename: Paul E
authors.initials: PE
authors.lastname: Donatelli
authors.forename: Theodoros N
authors.initials: TN
authors.lastname: Teknos
mesh_terms: D001707:Biopsy, Needle; D017610:Calcium Compounds / Q000627:therapeutic use; D002277:Carcinoma; D002291:Carcinoma, Papillary; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006996:Hypocalcemia / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D007774:Lactation; D008991:Monitoring, Physiologic / Q000379:methods; D037981:Neck Dissection / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy; D049590:Postpartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D000077273:Thyroid Cancer, Papillary; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013965:Thyroidectomy / Q000009:adverse effects* / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D017610:Calcium Compounds