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bilateral superficial cervical plexus block for parathyroidectomy during pregnancy:A case report

World Journal of Clinical Cases 2022年第13期10卷 4153-4160页

作者： Jun-Young Chung Yo Seob Lee Seung Yeon Pyeon Sang-Ah Han Hyub Huh Department of Anesthesiology and Pain Medicine Kyung Hee University Hospital at GangdongCollege of MedicineKyung Hee UniversitySeoul 05278South Korea Department of Obstetrics&Gynecology Kyung Hee University Hospital at GangdongCollege of MedicineKyung Hee UniversitySeoul 05278South Korea Department of Surgery Kyung Hee University Hospital at GangdongCollege of MedicineKyung Hee UniversitySeoul 05278South Korea

BACKGROUND Primary hyperparathyroidism(PHPT)is the most common cause of pregnancyrelated *** can cause maternal and fetal complications in pregnant *** anesthesia for non-obstetric surgery in pregnant women is associated with maternal hazards and concerns regarding long-term neonatal neurocognitive *** removal of the lesion in mid-pregnancy is currently the primary treatment option for pregnant patients with ***,the blood calcium concentration at which surgery should be considered remains under discussion due to the risk of *** SUMMARY A 31-year-old nulliparous woman at 11 wk of gestation was admitted to our hospital for *** patient had a history of intrauterine fetal death with unknown etiology at 16 wk of gestation 1 year *** blood test results showed that the serum calcium level was elevated to 12.9 mg/dL,and the parathyroid hormone level was elevated to 157 pg/*** a neck ultrasound,it revealed a 0.8 cm×1.5 cm sized oval,hypoechoic mass in the upper posterior of the left thyroid gland,which was compatible with parathyroid *** cervical plexus block(SCPB)for parathyroidectomy was *** surgery,the obstetrician checked the status of the fetus,and there were no abnormal *** then her calcium level returned to normal values after one week of surgery and a healthy male neonate of 2910 g was delivered vaginally at 38 wk of *** Our case suggests that SCPB can be an anesthetic option for parathyroidectomy during the first trimester of pregnancy.

关键词： bilateral superficial cervical plexus block Hypercalcemia Parathyroid adenoma Parathyroidectomy Pregnancy Case report

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