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 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:2018 |
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| Enthalten in: |
Endocrinology, diabetes & metabolism case reports - 2018(2018) vom: 18. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Richa, Carine Ghassan [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 16.03.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1530/EDM-17-0175 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM282722963 |
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| 100 | 1 | |a Richa, Carine Ghassan |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman |
| 264 | 1 | |c 2018 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Revised 16.03.2022 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a 2018 | |
| 650 | 4 | |a 25-hydroxyvitamin-D3 | |
| 650 | 4 | |a Abdominal pain | |
| 650 | 4 | |a Alanine aminotransferase | |
| 650 | 4 | |a Amylase | |
| 650 | 4 | |a Bilirubin | |
| 650 | 4 | |a Bisphosphonates | |
| 650 | 4 | |a Bone | |
| 650 | 4 | |a Calcitonin | |
| 650 | 4 | |a Calcitriol | |
| 650 | 4 | |a Calcium | |
| 650 | 4 | |a Calcium (serum) | |
| 650 | 4 | |a Calcium (urine) | |
| 650 | 4 | |a Calcium gluconate | |
| 650 | 4 | |a Creatinine | |
| 650 | 4 | |a Endoscopic ultrasound | |
| 650 | 4 | |a Female | |
| 650 | 4 | |a Fluid repletion | |
| 650 | 4 | |a Furosemide | |
| 650 | 4 | |a Histopathology | |
| 650 | 4 | |a Hypercalcaemia | |
| 650 | 4 | |a Hyperparathyroidism (primary) | |
| 650 | 4 | |a Kidney stones | |
| 650 | 4 | |a Lebanon | |
| 650 | 4 | |a Leukocytosis | |
| 650 | 4 | |a Lipase (serum) | |
| 650 | 4 | |a MRI | |
| 650 | 4 | |a Magnesium | |
| 650 | 4 | |a March | |
| 650 | 4 | |a Nausea | |
| 650 | 4 | |a Obstetrics | |
| 650 | 4 | |a PTH | |
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| 650 | 4 | |a Paraesthesia | |
| 650 | 4 | |a Parathyroid | |
| 650 | 4 | |a Parathyroid adenoma | |
| 650 | 4 | |a Parathyroidectomy | |
| 650 | 4 | |a Phosphate (serum) | |
| 650 | 4 | |a Pregnant adult | |
| 650 | 4 | |a Pruritus | |
| 650 | 4 | |a Saline | |
| 650 | 4 | |a Ultrasound scan | |
| 650 | 4 | |a Unique/unexpected symptoms or presentations of a disease | |
| 650 | 4 | |a Urine 24-hour volume | |
| 650 | 4 | |a Vomiting | |
| 650 | 4 | |a White | |
| 650 | 4 | |a Zoledronic acid | |
| 700 | 1 | |a Saad, Khadija Jamal |e verfasserin |4 aut | |
| 700 | 1 | |a Chaaban, Ali Khaled |e verfasserin |4 aut | |
| 700 | 1 | |a El Rawas, Mohamad Souheil |e verfasserin |4 aut | |
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