PRIMARY HYPERPARATHYROIDISM IN PREGNANCY - REPORT OF 3 CASES

Three cases of primary hyperparathyroidism in pregnancy are described. Patient 1 developed left thigh pain and lower abdominal pain at 34 we eks' gestation. Patient 2 had right flank pain and lower abdominal pai n at 32 weeks' gestation. Both patients accepted medical therapy initi ally, which resulted in poor control of hypercalcemia. Patient 1 delay ed her parathyroidectomy until the postpartum period; she had maternal hypercalcemia and neonatal hypocalcemia. Patient 2 accepted parathyro idectomy at 32 weeks' gestation with an uneventful outcome for both mo ther and baby. Patient 3 was asymptomatic; her hyperparathyroidism was diagnosed postpartum after neonatal hypocalcemia and agreed to parath yroidectomy. All 3 patients had a parathyroid adenoma.