Surgical treatment in hyperparathyroidism in children (about 3 cases)

Driss Hanine; Jaouad Bouljrouf; Zakaria Aboulam; Mounir Kisra

Surgical treatment in hyperparathyroidism in children (about 3 cases)

Authors
Driss Hanine, Jaouad Bouljrouf, Zakaria Aboulam, Mounir Kisra

Abstract
Hyperparathyroidism is a rare condition in children, mainly primary school rarely, may be complicated by renal, musculoskeletal digestive and cardiovascular systems.

The contribution of biology (calcium and phosphate and parathyroid hormone assay) of modern imaging (ultrasound, scintigraphy) and histopathology at diagnosis is essential. The cure is surgery. It is within this context that our retrospective study of three patients admitted in the pediatric surgery department of Hospital A child of Rabat.

There were three patients’ two girls and one boy, mean age 10 years, divided into a primary hyperparathyroidism with nephrolithiasis, a case of primary hyperparathyroidism with osteoarticular complications and a lack of hyperparathyroidism chronic kidney. Our three patients had received a good cervicotomy with removal of a parathyroid adenoma; the postoperative course was unremarkable except for one patient, who had a crisis of hypocalcemia.

The evolution was marked by an improvement in clinical symptoms and normalization of calcium and phosphate and PTH levels. The cure rate is organic over 95%.

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