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)
-
Vidas Petrauskas,
Šarūnas Narbutas,
Neringa Čiakienė,
Guoda Gudelytė,
Audrius Dulskas,
Access to Healthcare for Cancer Patients in Lithuania During the COVID-19 Pandemic
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Eleonora Ivanova,
Rasa Garunkštienė,
Arūnas Liubšys,
Appendicitis in a Newborn: Case Report and Review of the Literature
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Evangelos N. Symeonidis,
Dimitrios Memmos,
Anastasios Anastasiadis,
Ioannis Mykoniatis,
Eliophotos Savvides,
Georgios Langas,
Panagiotis Baniotis,
Athanasios Bouchalakis,
Stavros Tsiakaras,
Panagiotis Stefanidis,
Michail Stratis,
Wilbert F. Mutomba,
Ioannis Vakalopoulos,
Georgios Dimitriadis,
Jackstone: A Calculus “Toy” in the Bladder. A Case Report of Rare Entity and Comprehensive Review of the Literature
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Gabrielis KUNDROTAS,
Surface markers distinguishing mesenchymal stem cells from fibroblasts
,
Acta medica Lituanica: Vol. 19 No. 2 (2012)
-
Raimondas Juškys,
Gytis Šustickas,
Effectiveness of treatment of occipital neuralgia using the nerve block technique: a prospective analysis of 44 patients
,
Acta medica Lituanica: Vol. 25 No. 2 (2018)
-
Nataliia Sydorova,
Volodymyr Vereshchaka,
Taras Kuts,
Possibilities of Anxiolytic Therapy in the Elimination of Stress Skin Manifestations: A Case Report
,
Acta medica Lituanica: Vol. 30 No. 1 (2023): Acta medica Lituanica
-
Vladislav Lisovski,
Mindaugas Minderis,
Intraneural ganglion cyst: a case report and a review of the literature
,
Acta medica Lituanica: Vol. 26 No. 2 (2019): Acta Medica Lituanica
-
Alfredas Vaitkus,
Jūratė Šipylaitė,
Sensory Perception in Lumbosacral Radiculopathy with Radicular Pain: Feasibility Study of Multimodal Bedside-Suitable Somatosensory Testing
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica
-
Panda Subrat,
Sharma Nalini,
Khan Dina Aisha,
Saha Anusmita,
Das Rituparna,
Phukan Pranjal,
Transcatheter Artery Embolization for Postoperative Haemorrhage after Arterio-Venous Malformation – Safer Option
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica
-
Igor Lakhno,
The Insight into Obstetric Care near the Front Line in Kharkiv
,
Acta medica Lituanica: Vol. 29 No. 2 (2022): Acta medica Lituanica