Persistent hyperparathyroidism caused by incomplete parathyroid resection and a hyperfunctioning parathyroid autograft
A. M. Spiegel, R. W. Downs Jr, A. Santora, S. J. Marx, J. Doppman and J. Shull
A case of familial primary hyperparathyroidism occurred in which persistent
hypercalcemia was caused by hyperplastic parathyroid tissue left in the
neck and mediastinum after initial surgery and by a hyperfunctioning
parathyroid autograft in the forearm. Successful therapy required
parathyroid localization and resection of tissue from the neck,
mediastinum, and forearm. Parathyroid tissue should be autotransplanted at
the time of initial surgery only when total parathyroidectomy is judged
likely to have been achieved.
