The Surgical Management of Primary Hyperparathyroidism: The Experience in Tikur Anbessa Specialized Tertiary Referral and Teaching Hospital, Addis Ababa, Ethiopia

Abstract

Primary hyperparathyroidism is an endocrine disorder characterized by excessive and inappropriate release of Parathormone (PTH) from parathyroid glands resulting in diverse clinical manifestations involving the skeletal system in the form of bone and joint pains and pathological fractures, the gastrointestinal system in the form of dyspepsia from Peptic ulcer disease and pancreatitis, nephrolithiasis and other neuropsychiatric and nonspecific symptoms. There is nothing known about the epidemiology of this condition in our country and experience in Parathyroidectomy is very limited. In the biggest tertiary referral and teaching hospital in the country, only seven cases have been seen and treated over a period of seven years from 2007-2014 and only three had complete medical documents. We therefore present these three cases in detail and review the available literature in the management of primary hyperparathyroidism. Key words : Primary hyperparathyroidism, hungry bone disease, parathyroid adenoma