Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2022; 10(13): 4153-4160
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4153
Bilateral superficial cervical plexus block for parathyroidectomy during pregnancy: A case report
Jun-Young Chung, Yo Seob Lee, Seung Yeon Pyeon, Sang-Ah Han, Hyub Huh
Jun-Young Chung, Yo Seob Lee, Hyub Huh, Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul 05278, South Korea
Seung Yeon Pyeon, Department of Obstetrics & Gynecology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul 05278, South Korea
Sang-Ah Han, Department of Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul 05278, South Korea
Author contributions: Chung JY, Lee YS and Huh H were the patient’s anesthesiologists, performed bilateral superficial cervical plexus block and contributed to manuscript preparation; Pyeon SY was the patient’s Gynecologist, performed the analyses and interpretation and contributed to manuscript drafting; Han SA was the patient’s surgeon, performed parathyroidectomy and drafted the manuscript; Huh H reviewed and edited the manuscript; all authors issued the final approval for the version to be submitted.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest related to this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hyub Huh, MD, PhD, Associate Professor, Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, South Korea. clumania@gmail.com
Received: August 6, 2021
Peer-review started: August 6, 2021
First decision: January 10, 2022
Revised: January 21, 2022
Accepted: March 17, 2022
Article in press: March 17, 2022
Published online: May 6, 2022
Core Tip

Core Tip: Pregnant women undergoing general anesthesia for non-obstetric surgery have risks of maternal hazards. In addition, the surgery might affect the long-term development of the fetus in early pregnancy and cause premature birth in late pregnancy. Pregnant patient with severe primary hyperparathyroidism (PHPT), such as our case, should have their calcium concentration lowered before surgery. Surgical removal of the lesion in mid-pregnancy is the treatment-of-choice in PHPT. However, in case of persisting hypercalcemia despite of conservative treatment, superficial cervical plexus block can be an anesthetic option for parathyroidectomy during the first trimester of pregnancy.