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Hindawi Publishing Corporation International Journal of Otolaryngology Volume 2009, Article ID 361427, 4 pages doi:10.1155/2009/361427 Case Report A Targeted Parathyroidectomy Using Guide Wire Technique in a Pregnant Patient with Primary Hyperparathyroidism E. Kandil,1 S. Faruqui,1 J. Alharash,1 H. Alabbas,1 B. Rodgers,2 B. Blank,2 and B. M. Jaffe1 1 Department of Surgery, Division of Endocrine and Oncologic Surgery, Tulane University, School of Medicine, New Orleans, LA 70112, USA 2 Department of Radiology, Tulane University, School of Medicine, New Orleans, LA 70112, USA Correspondence should be addressed to E. Kandil, ekandil@ Received 19 June 2009; Revised 19 September 2009; Accepted 8 October 2009 Recommended by David W. Eisele Primary hyperparathyroidism may cause fetal demise in pregnant patients if prompt diagnosis and treatment is not initiated. The paper describes a novel guide wire technique for a targeted parathyroidectomy, which may reduce the risk to mother and fetus and be useful in other related circumstances. Copyright © 2009 E. Kandil et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1. Introduction useful, but are not typically used due to potential risks to the fetus [4]. Primary hyperparathyroidism is rare in pregnancy, but It is essential for surgeons to minimize the opera- the disease causes fetal demise if prompt diagnosis and tion and anesthesia used in the treatment of primary effective management are not pur