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Islam AKMM, Sayami LA, Zaman S. Chiari network: a case report and brief overview. Journal of the Saudi Heart Association 2013; 25(3): 225-229.

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Article

Severe Refractory Hypocalcemia after Parathyroidectomy for Hyperparathyroidism and Parathyroid Adenoma in a Patient with Prior Bariatric Surgery: A Rare Case Report

1Endocrine, Zayed Military Hospital, Abudhabi, United Arab Emirates

2Internal Medicine, Zayed Military Hospital, Abudhabi, United Arab Emirates


American Journal of Medical Case Reports. 2021, Vol. 9 No. 11, 664-666
DOI: 10.12691/ajmcr-9-11-12
Copyright © 2021 Science and Education Publishing

Cite this paper:
Majdi Al Najjar, Mousa Suhail Abu Ghoush, Nadeen Elmajed, Ahmed Eldimllawi, Ahmed Abousalha, Yousef almehrzi. Severe Refractory Hypocalcemia after Parathyroidectomy for Hyperparathyroidism and Parathyroid Adenoma in a Patient with Prior Bariatric Surgery: A Rare Case Report. American Journal of Medical Case Reports. 2021; 9(11):664-666. doi: 10.12691/ajmcr-9-11-12.

Correspondence to: Mousa  Suhail Abu Ghoush, Internal Medicine, Zayed Military Hospital, Abudhabi, United Arab Emirates. Email: mousasuhail@hotmail.com

Abstract

Hypocalcaemia is a common but transient complication post Parathyroid surgery. In patients who have gone through bariatric surgery including Roux-En-Y the risk increases further. We present a challenging case report of a patient with history of RYGB who underwent parathyroidectomy and consequently developed refractory hypocalcaemia. Hypocalcaemia was managed conservatively initially but subsequently required higher doses of both intravenous and oral calcium along with teriparatide. Patients post Bariatric surgery including those who have undergone Roux-en-Y who are proceeding with Parathyroid procedures should be followed up closely for hypocalcaemia.

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