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dc.contributor.authorSivasankaran, Karthikeyan
dc.date.accessioned2022-02-25T13:16:27Z
dc.date.available2022-02-25T13:16:27Z
dc.date.issued2022-02
dc.identifier.citationGumber, L., Sivasankaran, K. and Khan, S. M. S. (2022) ‘Parathyroid carcinoma presenting with ventricular bigeminy in pregnancy’, BMJ case reports, 15(2)en_US
dc.identifier.urihttp://hdl.handle.net/20.500.12904/15197
dc.description.abstractParathyroid carcinoma is very rare in pregnancy. Clinical features are similar to primary hyperparathyroidism. A 38-year-old pregnant woman had repeated hospital admissions for palpitations, headaches, dizziness and polydipsia. Blood investigations showed severe hypercalcaemia with raised parathyroid hormone and 24-hour ECG showed ventricular bigeminy and premature ventricular contractions. Neck ultrasound showed a lesion in the right thyroid lobe. Consequently, she underwent an en bloc resection of the right parathyroid and thyroid lobe at 23 weeks gestation. Histology results confirmed parathyroid cancer. This case highlights the complexities of identifying hypercalcaemia in pregnancy due to the overlapping features with common disorders of pregnancy. Early recognition and timely surgical management can prevent maternal and fetal complications. Also, the case demonstrates the value of interprofessional collaboration between different specialities in providing quality care and improving outcomes. An abridged version of this case was presented at European Congress of Endocrinology 2021.
dc.description.urihttps://casereports.bmj.com/content/15/2/e247069.longen_US
dc.publisherBMJ Case Reportsen_US
dc.subjectCalcium and boneen_US
dc.subjectEndocrine canceren_US
dc.subjectEndocrinologyen_US
dc.subjectPregnancyen_US
dc.titleParathyroid carcinoma presenting with ventricular bigeminy in pregnancy.en_US
dc.typeArticleen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.versionNAen_US
rioxxterms.versionofrecord10.1136/bcr-2021-247069.en_US
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
html.description.abstractParathyroid carcinoma is very rare in pregnancy. Clinical features are similar to primary hyperparathyroidism. A 38-year-old pregnant woman had repeated hospital admissions for palpitations, headaches, dizziness and polydipsia. Blood investigations showed severe hypercalcaemia with raised parathyroid hormone and 24-hour ECG showed ventricular bigeminy and premature ventricular contractions. Neck ultrasound showed a lesion in the right thyroid lobe. Consequently, she underwent an en bloc resection of the right parathyroid and thyroid lobe at 23 weeks gestation. Histology results confirmed parathyroid cancer. This case highlights the complexities of identifying hypercalcaemia in pregnancy due to the overlapping features with common disorders of pregnancy. Early recognition and timely surgical management can prevent maternal and fetal complications. Also, the case demonstrates the value of interprofessional collaboration between different specialities in providing quality care and improving outcomes. An abridged version of this case was presented at European Congress of Endocrinology 2021.en_US
rioxxterms.funder.project94a427429a5bcfef7dd04c33360d80cden_US


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