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A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman
The objective of the study is to report a case of acute pancreatitis secondary to hypercalcemia induced by primary hyperparathyroidism in a pregnant woman at the end of the first trimester. The case included a 32-year-old woman who was diagnosed with acute pancreatitis and severe hypercalcemia refra...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bioscientifica Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881426/ https://www.ncbi.nlm.nih.gov/pubmed/29623207 http://dx.doi.org/10.1530/EDM-17-0175 |
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author | Richa, Carine Ghassan Saad, Khadija Jamal Chaaban, Ali Khaled El Rawas, Mohamad Souheil |
author_facet | Richa, Carine Ghassan Saad, Khadija Jamal Chaaban, Ali Khaled El Rawas, Mohamad Souheil |
author_sort | Richa, Carine Ghassan |
collection | PubMed |
description | The objective of the study is to report a case of acute pancreatitis secondary to hypercalcemia induced by primary hyperparathyroidism in a pregnant woman at the end of the first trimester. The case included a 32-year-old woman who was diagnosed with acute pancreatitis and severe hypercalcemia refractory to many regimens of medical therapy in the first trimester of pregnancy. She was successfully treated with parathyroidectomy in the early second trimester with complete resolution of hypercalcemia and pancreatitis. Neonatal course was unremarkable. To our best knowledge, this is a rare case when primary hyperparathyroidism and its complications are diagnosed in the first trimester of pregnancy. In conclusion, primary hyperparathyroidism is a rare life-threatening condition to the fetus and mother especially when associated with complications such as pancreatitis. Early therapeutic intervention is important to reduce the morbidity and mortality. Parathyroidectomy performed in the second trimester can be the only solution. LEARNING POINTS: Learning how to make diagnosis of primary hyperparathyroidism in a woman during the first trimester of pregnancy. Understanding the complications of hypercalcemia and be aware of the high mortality and sequelae in both fetus and mother. Providing the adequate treatment in such complicated cases with coordinated care between endocrinologists and obstetricians to ensure optimal outcomes. |
format | Online Article Text |
id | pubmed-5881426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Bioscientifica Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-58814262018-04-05 A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman Richa, Carine Ghassan Saad, Khadija Jamal Chaaban, Ali Khaled El Rawas, Mohamad Souheil Endocrinol Diabetes Metab Case Rep Unique/Unexpected Symptoms or Presentations of a Disease The objective of the study is to report a case of acute pancreatitis secondary to hypercalcemia induced by primary hyperparathyroidism in a pregnant woman at the end of the first trimester. The case included a 32-year-old woman who was diagnosed with acute pancreatitis and severe hypercalcemia refractory to many regimens of medical therapy in the first trimester of pregnancy. She was successfully treated with parathyroidectomy in the early second trimester with complete resolution of hypercalcemia and pancreatitis. Neonatal course was unremarkable. To our best knowledge, this is a rare case when primary hyperparathyroidism and its complications are diagnosed in the first trimester of pregnancy. In conclusion, primary hyperparathyroidism is a rare life-threatening condition to the fetus and mother especially when associated with complications such as pancreatitis. Early therapeutic intervention is important to reduce the morbidity and mortality. Parathyroidectomy performed in the second trimester can be the only solution. LEARNING POINTS: Learning how to make diagnosis of primary hyperparathyroidism in a woman during the first trimester of pregnancy. Understanding the complications of hypercalcemia and be aware of the high mortality and sequelae in both fetus and mother. Providing the adequate treatment in such complicated cases with coordinated care between endocrinologists and obstetricians to ensure optimal outcomes. Bioscientifica Ltd 2018-03-28 /pmc/articles/PMC5881426/ /pubmed/29623207 http://dx.doi.org/10.1530/EDM-17-0175 Text en © 2018 The authors http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en_GB This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en_GB) . |
spellingShingle | Unique/Unexpected Symptoms or Presentations of a Disease Richa, Carine Ghassan Saad, Khadija Jamal Chaaban, Ali Khaled El Rawas, Mohamad Souheil A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
title | A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
title_full | A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
title_fullStr | A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
title_full_unstemmed | A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
title_short | A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
title_sort | rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
topic | Unique/Unexpected Symptoms or Presentations of a Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881426/ https://www.ncbi.nlm.nih.gov/pubmed/29623207 http://dx.doi.org/10.1530/EDM-17-0175 |
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