A Journal of the University of Malta Medical School

Volume 29, Issue 2    (go to table of contents)

Case Report

Persistent recalcitrant hypocalcemia following total thyroidectomy: a management challenge

Devesh Sanjeev Ballal, Kapil Tejaswy, Deviprasad Shetty, Gabriel Rodrigues

Malta Medical Journal, 2017: 2; 28

Hypocalcemia is the most common complication following total thyroidectomy and could be due to direct injury or ischemic damage to parathyroid glands during surgery. Hypocalcemia adds significantly to hospital stay and cost of hospitalisation. While there are numerous proposed treatment algorithms for post-thyroidectomy hypocalcemia, there are no universally accepted standard guidelines or treatment algorithms available. We present a case of prolonged recalcitrant hypocalcemia post-total thyroidectomy, requiring hospitalisation for more than a month, to illustrate the practical problems we faced during management of this patient.

Keywords:

Hypocalcemia, thyroidectomy, calcium, parathormone.

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