RE-OPERATIVE SURGERY FOR RECURRENT PRIMARY HYPERPARATHYROIDISM ASSOCIATED WITH OLIGOMENORRHEA

CLINICAL CASE

  • Ana Valea The University of Medicine and Pharmacy “Iuliu Hatieganu”, Cluj-Napoca, Romania & The Department of Endocrinology, The Clinical County Hospital, Cluj-Napoca, Romania
  • V. Muntean The University of Medicine and Pharmacy “Iuliu Hatieganu”, Cluj-Napoca, Romania & The CFR Hospital, Cluj-Napoca, Romania
  • Andra Morar The Department of Endocrinology, The Clinical County Hospital, Cluj-Napoca, Romania
  • Mara Carsote The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania & The National Institute of Endocrinology “C. I. Parhon”, Bucharest, Romania
  • Cristina Căpățînă The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania & The National Institute of Endocrinology “C. I. Parhon”, Bucharest, Romania
  • Simoa Elena Albu The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania & The University Emergency Hospital, Bucharest, Romania
Keywords: parathyroidectomy, recurrent hyperparathyroidism, hypercalcemia, oligomenorrhea

Abstract

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. Postoperative 6-month follow-up showed normalization of biochemical and hormonal profiles, with significant improvement of clinical symptoms, dominated by muscle weakness, weight loss and oligomenorrhea. The 18-month follow-up showed elevated PTH and serum calcium levels. Imaging confirmed recurrence of primary hyperparathyroidism by highlighting a right upper parathyroid adenoma. Surgery was performed again and no major incident was seen. The particularity of this case consists in the recurrence of primary hyperparathyroidism in a young patient with no family history of the disease due to asynchronous parathyroid adenomas that were successfully removed in a female patient who in addition to classic complications such as calyceal microlithiasis and osteoporosis presented oligomenorrhea which was resolved spontaneously after the correction of hypercalcemia.

Published
2015-07-01
How to Cite
[1]
A. Valea, V. Muntean, A. Morar, M. Carsote, C. Căpățînă, and S. Albu, “RE-OPERATIVE SURGERY FOR RECURRENT PRIMARY HYPERPARATHYROIDISM ASSOCIATED WITH OLIGOMENORRHEA”, JSS, vol. 2, no. 3, pp. 140-143, Jul. 2015.
Section
Articles