Surgical Management of Secondary Hyperparathyroidism in End-stage Kidney Disease: A Case Report
Journal Title: MGM JOURNAL OF MEDICAL SCIENCES - Year 2018, Vol 5, Issue 4
Abstract
A 56-year-old male patient with end-stage kidney disease (ESKD) on hemodialysis, presented with features of severe secondary hyperparathyroidism (SHPT). He failed to respond to conservative management. So he was evaluated for surgical treatment (parathyroidectomy). Radionuclide scintigraphy revealed hypertrophied and adenomatous parathyroid glands. He underwent parathyroidectomy, in which all parathyroid glands were excised. Postoperatively patient felt significant relief in bone pain. Parathyroidectomy can be offered to a patient of secondary hyperparathyroidism due to chronic renal failure if conservative measures fail.
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