caa a22 4500 445310154 CHVBK 20180317142626.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00404-010-1668-x doi (NATIONALLICENCE)springer-10.1007/s00404-010-1668-x Recurrent pancreatitis induced by hyperparathyroidism in pregnancy [Elektronische Daten] [Robert Krysiak, Mariusz Wilk, Bogusław Okopien] Introduction: As primary hyperparathyroidism affects mainly middle-aged and elderly women, it is an infrequent finding during gestation and breastfeeding. To date, less than 200 pregnant patients with primary hyperparathyroidism diagnosed during pregnancy have been described. Like in other disorders of the parathyroid gland, the recognition of primary hyperparathyroidism during pregnancy and lactation may be difficult, as clinical symptoms are not specific, while laboratory findings may be masked by some typical pregnancy-induced changes in calcium and phosphate homeostasis. If remains untreated, the disease may result in serious clinical implications for the mother and fetus. Most authors consider surgery within the second trimester of pregnancy as the treatment of choice in this group of patients. Case report: In our paper, we discuss the case of a 35-year-old female with a history of recurrent acute pancreatitis and recurrent abortions. As the patient declined surgery, conservative management with calcitonin was started and continued throughout the rest of pregnancy, and led to giving birth to the infant whose only health problem was transient hypocalcemia. Conclusion: The described case shows that conservative management, if started respectively early and conducted on the basis of a patient's condition, may effectively reduce increased perinatal and maternal morbidity and mortality in pregnant women declining surgery. The Author(s), 2010 Primary hyperparathyroidism nationallicence Calcium homeostasis nationallicence Pregnancy and postpartum period nationallicence Clinical course nationallicence Diagnosis and management nationallicence Krysiak Robert Department of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Medyków 18, 40-752, Katowice, Poland aut Wilk Mariusz Department of Histopathology, Medical University of Silesia, Katowice, Poland aut Okopien Bogusław Department of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Medyków 18, 40-752, Katowice, Poland aut Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 531-534 0932-0067 284:3<531 2011 284 404 https://doi.org/10.1007/s00404-010-1668-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1668-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Krysiak Robert Department of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Medyków 18, 40-752, Katowice, Poland aut NATIONALLICENCE 700 1- Wilk Mariusz Department of Histopathology, Medical University of Silesia, Katowice, Poland aut NATIONALLICENCE 700 1- Okopien Bogusław Department of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Medyków 18, 40-752, Katowice, Poland aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 531-534 0932-0067 284:3<531 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer