Diagnostic Dilemma of an Unsuspected Hyperfunctioning Accessory Parathyroid Gland after Total Parathyroidectomy with Autotransplantation in a Peritoneal Dialysis Patient
Abstract:Persistent or recurrent hyperparathyroidism in patients with chronic renal failure may be a frustrating problem. We report a case history of a peritoneal dialysis patient who underwent total parathyroidectomy with autotransplantation for secondary hyperparathyroidism, developed tertiary hyperparathyroidism, and in an attempt to control hypercalcemia underwent seven partial resections of the autotransplant. Subsequently, a total excision of the parathyroid autograft was performed, but the patient continued to h… Show more
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