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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2009 October;168(5):317-9

language: English

Is the MIVAP a safe surgical approach in acute hypercalcemia? Report of a case

Del Rio P. 1, Arcuri M.F. 1, Sommaruga L. 1, Cataldo S. 2, Sianesi M. 1

1 Department of Surgical Science,General Surgery and Organ Transplantation, University of Parma, Parma, Italy
2 Department of Surgical Science, Unit of Endocrinology, University of Parma, Parma, Italy


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Cases affected by HPTp with the clinical symptoms of hypercalcemia and that do not respond to medical therapy are rare. We presents the case of an elderly woman with the clinical symptoms of HPP, serum calcium level greater than 13 mg/dL and a lack of response to rehydratation and biphosponates. The surgical approach in this emergency was mini-invasive videoassisted parathyroidectomy (MIVAP) of the suspected adenoma wich was accompanied by an improvement of the clinical symptoms. During the parathyroidectomy we isolated the central compartment after a surgical cut of 1.5 cm to free an adenoma located in the superior mediastinal region. We think that the MIVAP should be conducted by skilled endocrine surgeons in cases of emergency with acute hypercalcemia.

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