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

作　　者：Jun-Young Chung Yo Seob Lee Seung Yeon Pyeon Sang-Ah Han Hyub Huh 

机构地区：[1]Department of Anesthesiology and Pain Medicine,Kyung Hee University Hospital at Gangdong,College of Medicine,Kyung Hee University,Seoul 05278,South Korea [2]Department of Obstetrics&Gynecology,Kyung Hee University Hospital at Gangdong,College of Medicine,Kyung Hee University,Seoul 05278,South Korea [3]Department of Surgery,Kyung Hee University Hospital at Gangdong,College of Medicine,Kyung Hee University,Seoul 05278,South Korea

出　　处：《World Journal of Clinical Cases》2022年第13期4153-4160,共8页世界临床病例杂志

摘　　要：BACKGROUND Primary hyperparathyroidism(PHPT)is the most common cause of pregnancyrelated hypercalcemia.PHPT can cause maternal and fetal complications in pregnant women.General anesthesia for non-obstetric surgery in pregnant women is associated with maternal hazards and concerns regarding long-term neonatal neurocognitive effects.Surgical removal of the lesion in mid-pregnancy is currently the primary treatment option for pregnant patients with PHPT.However,the blood calcium concentration at which surgery should be considered remains under discussion due to the risk of miscarriage.CASE SUMMARY A 31-year-old nulliparous woman at 11 wk of gestation was admitted to our hospital for parathyroidectomy.The patient had a history of intrauterine fetal death with unknown etiology at 16 wk of gestation 1 year prior.Her 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/mL.In 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 adenoma.Superficial cervical plexus block(SCPB)for parathyroidectomy was performed.After surgery,the obstetrician checked the status of the fetus,and there were no abnormal signs.Since 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 gestation.CONCLUSION 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 

分 类 号：R714.2[医药卫生—妇产科学] R653[医药卫生—临床医学]