A garden of parathyroid adenomas

Zeyad T. Sahli, Farah Karipineni, Martha A. Zeiger

Research output: Contribution to journalArticlepeer-review


Despite improvements in parathyroidectomy success rates, patients with persistent primary hyperparathyroidism (PHPT) after initial surgery continue to challenge clinicians. Some of the challenges are due to ectopic parathyroid adenomas, including thymic, intrathyroidal, carotid sheath and mediastinal glands, and others are because of supernumerary glands. While uncommon in PHPT, multigland disease is also an important consideration in patients requiring reoperative surgery for persistent disease. For this reason, localisation studies including sestamibi, ultrasound, CT scan and venous sampling for abnormal glands may be an essential component of the preoperative workup. In this report, we describe an unusual case of a patient who required a total of four operations to cure PHPT arising from seven parathyroid adenomas.

Original languageEnglish (US)
Article numberbcr-2017-221130
JournalBMJ case reports
StatePublished - 2017


  • calcium and bone
  • endocrinology
  • general surgery
  • head and neck surgery

ASJC Scopus subject areas

  • Medicine(all)


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