| The Case of Successful Treatment of Severe Hypercalcemia by Percutaneous Ethanol Injection Therapy in a Renal Transplant Recipient with Hyperparathyroidism |
| Ho Jung An, M.D.1, Su Jin Moon, M.D.1 , Su Hyun Kim, M.D.1 , Ji Young Kim, M.D.2, Bum Soon Choi, M.D.1, Chul Woo Yang, M.D.1, Yong Soo Kim, M.D.1 and Byung Kee Bang, M.D.1 |
Department of Internal Medicine1 and Radiology2
Kangnam St. Marys Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea |
| 증례 : 신이식 후 부갑상샘항진증에 대한 경피적에탄올 주입요법 치료 경험 1례 |
| 안호정1, 문수진1, 김수현1, 김지영2, 최범순1, 양철우1, 김용수1, 방병기1 |
| 가톨릭대학교 의과대학 내과학교실1, 방사선과학교실2 |
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| Abstract |
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Severe hypercalcemia due to persistent hyperparathyroidism after kidney transplantation causes serious medical complications. Medical or surgical treatment is recommended to decrease serum calcium level, but percutaneous ethanol injection therapy (PEIT) is an also useful method for patients who are refractory to medical treatment and under poor condition for parathyroidectomy. Here, we report a case of successful PEIT of refractory hypercalcemia in a 62-year old patient after kidney transplantation. This patient underwent PEIT because of poor general condition. Just after PEIT, serum calcium level was normalized and biointact PTH level was markedly decreased without serious complications. He has been followed up for 6 months without recur so far. PEIT may be recommended for treatment of sustained hypercalcemia in kidney-transplant patients who are refractory to medical treatment or in poor condition for surgical treatment. |
| Key Words:
Hypercalcemia, Hyperparathyroidism, Kidney transplantation, Ethanol |
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