title: [A 31-year-old pregnant woman with refractory hypercalcemia].
abstract: A 31-year-old pregnant woman presented with refractory severe hypercalcemia due to an advanced neuroendocrine tumor masquerading as hyperemesis gravidarum. Octreotide therapy and extensive tumor debulking surgery resulted in symptom control. After a prolonged stay in the intensive care unit due to parapneumonic acute respiratory distress syndrome, the patient delivered a healthy child. Neuroendocrine tumors are a rare complication of pregnancy and a seldom cause of refractory hypercalcemia.
authors.affiliation: Klinik für Innere Medizin III, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, Ulm, Germany. michael.kuehn@uniklinik-ulm.de
authors.forename: M W M
authors.initials: MW
authors.lastname: Kühn
authors.forename: R
authors.initials: R
authors.lastname: Blagieva
authors.forename: D
authors.initials: D
authors.lastname: Beha
authors.forename: M
authors.initials: M
authors.lastname: Hänle
authors.forename: F
authors.initials: F
authors.lastname: Reister
authors.forename: D
authors.initials: D
authors.lastname: Henne-Bruns
authors.forename: C
authors.initials: C
authors.lastname: Pilcher
authors.forename: B O
authors.initials: BO
authors.lastname: Böhm
authors.forename: G
authors.initials: G
authors.lastname: von Wichert
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D018358:Neuroendocrine Tumors / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome