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

Majdi Al Najjar¹, Mousa Suhail Abu Ghoush^2, , Nadeen Elmajed², Ahmed Eldimllawi², Ahmed Abousalha² and Yousef almehrzi¹

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

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

Cite this paper:
Majdi Al Najjar, Mousa Suhail Abu Ghoush, Nadeen Elmajed, Ahmed Eldimllawi, Ahmed Abousalha and 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

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.

Keywords:
Roux-en-Y post parathyroidectomy hypocalcaemia refractory teriparatide bariatric surgery

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