Hyperparathyroidism discovered during pregnancy

BACKGROUND: Diagnosis of hyperparathyroidism during pregnancy is rare becau se symptoms are often moderate and similar to signs observed during normal pregnancy. The gravity of such an association is probably underscored. CASE REEPORT: The diagnosis of hyperparathyroidism was made at 9 weeks gest ation in a young woman who declined surgery. She was seen again at 32 weeks gestation for in utero fetal death. Nine months later she accepted surgery and a parathyroid adenoma was removed. DISCUSSION: Hyperparathyroidism during pregnancy is associated with signifi cant morbidity with major maternal or fetal complications in 50% of the cas es. Surgery during the second trimester of pregnancy is the treatment of ch oice. if hyperparathyroidism is diagnosed in young women who desire pregnan cy, surgery should be performed before advising pregnancy.