Challenges of parathyroidectomy in a patient with primary hyperparathyroidism and end stage renal disease- Case report.

Hyperparathyroidism is an endocrinopathy affecting calcium metabolism. The leading cause of hypercalcaemia is primary hyperparathyroidism most often caused by a parathyroid adenoma. Symptomatic hyperclacemia secondary to parathyroid adenoma is usually managed by surgical excision of the adenoma1,2. We present a 54 year old female patient who presented with palpitations, general body malaise, nausea and headache on her index admission and managed...