Abstract
Background. The growing number of haemodialysis patients and the increasing their life expectancy within the past few years have resulted in a rise of long-term haemodialysis-associated complications. The aim of the paper is to present a case study of a successful surgical treatment of secondary hyperthyroidism and assess the causes of the disease.
Materials and methods. A 63-year-old male patient had been on haemodialysis for 18 years; he had undergone parathyroidectomy for secondary hyperparathyroidism 10 years ago. The relapse of the disease was suspected when the patient developed the onset of pruritus and muscle pain. The following tests were performed: biochemical markers of plasma calcium and parathyroid hormone, thyroid ultrasound examination, parathyroid gland 99 mTc MIBI scintigraphy, single photon emission computed tomography of the neck and mediastinum.
Results. Elevated calcium (2.73 mmol/l serum) and parathyroid hormone (1352 pg/ml blood plasma) levels were found. Ultrasound examination, 99 mTc MIBI scintigraphy and SPECT revealed parathyroid adenoma of the left inferior thyroid section. The patient underwent surgery in 2011. Remnants of the previously resected parathyroid gland were removed, and an accessory parathyroid gland was found within the thymus; this gland was removed, and partial autotransplantation was performed. The level of the parathyroid hormone decreased to 24 pg/ml during the day after surgery. The histological examination of the removed tissues was performed.
Conclusions. Accessory parathyroid glands are usually found within the thymus; therefore, any type of surgical treatment of secondary hyperparathyroidism should include thymectomy.
Keywords: parathyroid glands, secondary hyperparathyroidism, haemodialysis, parathyroidectomy
Downloads
Download data is not yet available.
Most read articles by the same author(s)
-
Audrius VASILIAUSKAS,
Laima LEONAVIČIENĖ,
Dalia VAITKIENĖ,
Rūta BRADŪNAITĖ,
Aloyza LUKŠIENĖ,
Anti-inflammatory effects of Aesculus hippocastanum L. tincture and the pro-/antioxidant bodily state of rats with adjuvant arthritis
,
Acta medica Lituanica: Vol. 17 No. 3-4 (2010)
-
Vilma Balčiuvienė,
Asta Burčiuvienė,
Mathias Haarhaus,
Jurgita Uogintaitė,
Asta Janavičienė,
Lina Santockienė,
Jurgita Mitrikevičienė,
Loreta Aleknienė,
Danutė Keinaitė,
Waning Humoral Response 6 Month after Double Vaccination with the mRNA-BNT162b2 Vaccine in Hemodialysis Patients
,
Acta medica Lituanica: Vol. 30 No. 1 (2023): Acta medica Lituanica
-
Veselin DICKOV,
The aspect of brands and marketing development in pharmaceutical industry
,
Acta medica Lituanica: Vol. 19 No. 2 (2012)
-
Dovilė Ruzgienė,
Meda Sutkevičiūtė,
Birutė Burnytė,
Kristina Grigalionienė,
Augustina Jankauskienė,
Reverse Phenotyping Maternal Cystic Kidney Disease by Diagnosis in a Newborn: Case Report and Literature Review on Neonatal Cystic Kidney Diseases
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Gabrielė Žiūkaitė,
Marta Jasaitė,
Sigitas Chmieliauskas,
Diana Vasiljevaitė,
Sigitas Laima,
Dalius Banionis,
Jurgita Stasiūnienė,
Homicides Disguised as Fire Deaths
,
Acta medica Lituanica: Vol. 30 No. 1 (2023): Acta medica Lituanica
-
Domas Grigoravičius,
Edvardas Žurauskas,
Vygantas Gruslys,
Rolandas Zablockis,
Edvardas Danila,
Case of Severe Treatment-Resistant Cryptogenic Organizing Pneumonia
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Marija Svetikienė,
Dainius Trybė,
Marius Strioga,
Jevgenija Veželienė,
Viktoras Isajevas,
Radvilė Malickaitė,
Laimutė Jurgauskienė,
Donata Ringaitienė,
Mindaugas Šerpytis,
Juratė Šipylaitė,
Impact of Immunonutrition on T Cell Activation: A Randomized Control Study in Cardiac Surgery Patients
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Jekaterina Byčkova,
Justė Simonavičienė,
Vaiva Mickevičienė,
Eugenijus Lesinskas,
Evaluation of quality of life after paediatric cochlear implantation
,
Acta medica Lituanica: Vol. 25 No. 3 (2018)
-
Theodore Young,
Joaquim Cevallos,
James Napier,
Juan Martin-Lazaro,
Metformin poisoning treated with high dose insulin dextrose therapy: a case series
,
Acta medica Lituanica: Vol. 26 No. 1 (2019): Acta Medica Lituanica
-
Robert G.Hahn,
Clinical pharmacology of infusion fluids
,
Acta medica Lituanica: Vol. 19 No. 3 (2012)