Severe primary hyperparathyroidism in a neonate having a parent with hypercalcemia: treatment by total parathyroidectomy and simultaneous heterotopic …

Y Fujimoto, H Hazama, K Oku - Surgery, 1990 - surgjournal.com
Neonatal primary hyperparathyroidism is a life-threatening disease because of marked
hypercalcemia and severe respiratory distress caused by the hypoplastic thorax and
occasional rib fractures. We report a 29-day-old girl treated by total parathyroidectomy and
simultaneous autotransplantation of parathyroid tissue (one fifth of each of the two glands) in
the femoral quadriceps muscle near the groin. At the time of operation, all four of the
parathyroid glands were markedly enlarged, and their total weight was 900 mg. Part of the …