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Anaesthetic Implications in Primary Hyperparathyroidism with Severe Hypercalcaemia; a Case Report

Author(s): Pranav Bansal | Nivesh Agarwal | Kumkum Gupta | Prashant K.Gupta

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 14;
Issue: 9;
Start page: 1;
Date: 2013;
Original page

Keywords: Primary Hyperparathyroidism | Parathyroid adenoma | Hypercalcemia | Parathormone (PTH)

Primary hyperparathyroidism is a rare endocrinal disorder of excess production of parathormone. A wide array of presenting symptoms may occur from parathormone induced hypercalcaemia leading to nephrolithiasis, osteoporosis, muscle weakness and cardiac arrhythmias. We present a case of young female who presented with non union of an operated fracture femur and generalized bony pains and frequent complaints of vomiting, polyuria and polydipsia. She was diagnosed to have primary hyperparathyroidism with hypercalcaemia and underwent parathyroidectomy. The potential perioperative problems and anaesthetic concerns require a focused management and are discussed.
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