Primary hyperparathyroidism (PHPT), i.e. autonomous hyper-production of parathyroid hormone (PTH), is caused in 80%-90% of the patients by a single adenoma.
History of kidney stones.
Pre-operative imaging localization of parathyroid adenoma(s) is critical for successful surgery, especially for minimally invasive parathyroidectomy.
Teaching points:
MIRP was successfully performed without the need for IQPTH.
Hypercalcemia did not recur during long-term postsurgical follow-up, and the patient is therefore to be considered as cured.
An optimized scintigraphic protocol makes it possible for patients with PHPT due to a solitary adenoma to undergo minimally-invasive radio-guided parathyroidectomy without the need for IQPTH.