RE-OPERATIVE SURGERY FOR RECURRENT PRIMARY HYPERPARATHYROIDISM ASSOCIATED WITH OLIGOMENORRHEA

Clinical Case Re-operative Surgery for Recurrent Primary Hyperparathyroidism Associated with Oligomenorrhea

Recurrent primary hyperparathyroidism is characterized by typical symptoms and biochemical recurrence of hypercalcemia after more than 6 months of normal calcium levels after surgery. We report the case of a 39-year-old female patient presenting with menses disturbances who was diagnosed with primary hyperparathyroidism caused by a left inferior parathyroid adenoma at the age of 35. Postoperati...

Re-explorative Parathyroid Surgery for Persistent and Recurrent Primary Hyperparathyroidism

Primary hyperparathyroidism (HPT) is treated by parathyroidectomy. Excision of abnormal parathyroid tissue is curative in the majority of cases. Postoperative persistent or recurrent HPT has been reported up to 30%. The purpose of this study was to evaluate the role of imaging techniques and determine the efficacy of reexplorative surgery. A total of 306 patients underwent parathyroidectomy bet...

Recurrent Acute Pancreatitis: A Diagnostic Clue to Primary Hyperparathyroidism

Persistent or recurrent primary hyperparathyroidism.

More than 95% of patients with Primary Hyperparathyroidism (PHPT) are treated successfully at the initial operation when the operation is done by an experienced surgeon, but the success rate is considerably lower when done by an unexperienced surgeon. The approach to patients with persistent and recurrent PHPT is to confirm the diagnosis and to use precise localization procedures done by expert...

Radioguided surgery in primary hyperparathyroidism.

UNLABELLED Surgical neck exploration is usually made in primary hyperparathyroidism (PHPT). Localization of the adenoma or detection of hyperplasia may reduce the operation period and limit the extent of the surgery. In this study the effficacy of preoperative Tc-99m MIBI scintigraphy and intraoperative gamma probe was evaluated. MATERIALS AND METHODS Six patients with PHPT had preoperative T...