We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Selective venous sampling in primary hyperparathyroidism caused by ectopic parathyroid gland: a case report and literature review.
- Authors
Yang, Xubin; Chen, Xueyan; Xu, Huan; Chen, Junwei; Yao, Bin; Lin, Qiongyan; Deng, Hongrong; Xu, Wen
- Abstract
Background: As an invasive technique, selective venous sampling (SVS) is considered a useful method to identify a lesion's location to increase the success rate of secondary surgery in patients with primary hyperparathyroidism (pHPT) caused by ectopic parathyroid adenomas. Case presentation: We present a case of post-surgical persistent hypercalcemia and elevated parathyroid hormone (PTH) levels in a 44-year-old woman with previously undetected parathyroid adenoma. An SVS was then performed for further localization of the adenoma, as other non-invasive methods showed negative results. After SVS, an ectopic adenoma was suspected in the sheath of the left carotid artery, previously considered as a schwannoma, and was pathologically confirmed after the second operation. Postoperatively, the patient's symptoms disappeared and serum levels of PTH and calcium normalized. Conclusions: SVS can provide precise diagnosis and accurate positioning before re-operation in patients with pHPT.
- Subjects
HYPERCALCEMIA; CAROTID artery; THYROIDECTOMY; PREOPERATIVE period; OPERATIVE surgery; PHLEBOTOMY; ADENOMA; SURGICAL complications; HYPERPARATHYROIDISM; PARATHYROID hormone; PARATHYROID gland tumors; REOPERATION; CALCIUM; DISEASE complications
- Publication
BMC Endocrine Disorders, 2023, Vol 23, Issue 1, p1
- ISSN
1472-6823
- Publication type
Article
- DOI
10.1186/s12902-023-01376-5