RESUMO
BACKGROUND: Primary hyperparathyroidism (PHPT) is characterized by an increase in parathyroid hormone (PTH) and hypercalcemia, which, when present during pregnancy, increases both maternal and fetal morbidity and mortality. OBJECTIVE: Emphasize the importance of surgical intervention in primary hyperparathyroidism during pregnancy. CLINICAL CASE: A 27-year-old female with a pregnancy of 27.2 weeks of gestation, with a diagnosis of symptomatic primary hyperparathyroidism secondary to parathyroid adenoma, a history of nephrolithiasis and severe acute pancreatitis, surgery was decided upon finding intrathyroid right parathyroid adenoma, post-surgical course with adequate evolution and remission of hyperparathyroidism. CONCLUSIONS: Parathyroidectomy in primary hyperparathyroidism during pregnancy is safe.
INTRODUCCIÓN: El hiperparatiroidismo primario (HPTP) se caracteriza por un aumento de la hormona paratiroidea (PTH) e hipercalcemia, que aumenta la morbimortalidad materna y fetal cuando se presenta durante el embarazo. OBJETIVO: Enfatizar la importancia de la intervención quirúrgica en el hiperparatiroidismo primario durante el embarazo. CASO CLÍNICO: Paciente femenino de 27 años de edad con embarazo de 27.2 semanas de gestación, con diagnóstico de hiperparatiroidismo primario sintomático secundario a adenoma paratiroideo, antecedentes de nefrolitiasis y pancreatitis aguda grave; al decidir realizar un procedimiento quirúrgico se identificó un adenoma paratiroideo derecho intratiroideo; el curso posquirúrgico mostró adecuada evolución y remisión del hiperparatiroidismo. CONCLUSIÓN: La paratiroidectomía en el hiperparatiroidismo primario durante el embarazo es segura.
Assuntos
Adenoma/complicações , Hiperparatireoidismo Primário/etiologia , Neoplasias das Paratireoides/complicações , Paratireoidectomia , Complicações Neoplásicas na Gravidez/cirurgia , Doença Aguda , Adenoma/diagnóstico , Adenoma/cirurgia , Adulto , Transfusão de Componentes Sanguíneos , Cálcio/metabolismo , Carcinoma Papilar/diagnóstico , Carcinoma Papilar/cirurgia , Feminino , Hormônios/sangue , Humanos , Hipercalcemia/etiologia , Hiperparatireoidismo Primário/sangue , Achados Incidentais , Nefrolitíase/etiologia , Pancreatite/etiologia , Neoplasias das Paratireoides/diagnóstico , Neoplasias das Paratireoides/cirurgia , Gravidez , Complicações Neoplásicas na Gravidez/sangue , Complicações Neoplásicas na Gravidez/diagnóstico , Neoplasias da Glândula Tireoide/diagnóstico , Neoplasias da Glândula Tireoide/cirurgia , TireoidectomiaRESUMO
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1%. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyand's hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.
Assuntos
Apendicite , Hérnia Inguinal , Apendicectomia/métodos , Apendicite/complicações , Apendicite/diagnóstico , Apendicite/cirurgia , Hérnia Inguinal/complicações , Hérnia Inguinal/diagnóstico , Hérnia Inguinal/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1
. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyands hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.
Assuntos
Apendicite , Hérnia Inguinal , Apendicectomia/métodos , Apendicite/cirurgia , Apendicite/complicações , Apendicite/diagnóstico , Humanos , Hérnia Inguinal/cirurgia , Hérnia Inguinal/complicações , Hérnia Inguinal/diagnóstico , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Índice de Gravidade de DoençaRESUMO
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1
. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyands hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.
