Recalcitrant hypocalcemia in a lactating woman after total thyroidectomy for papillary thyroid carcinoma.

Abstract

The risk of hypocalcemia after total thyroidectomy is well-described in the literature. Recalcitrant hypocalcemia after thyroidectomy in a lactating woman is uncommon and may require multiple strategies to correct. We present a case report of a lactating woman with papillary thyroid carcinoma requiring total thyroidectomy and neck dissections. Postoperatively the patient suffered from recalcitrant hypocalcemia which necessitated multiple medical maneuvers to rectify. The medical treatment required to correct the calcium levels is described herein. With the incidence of thyroid cancer on the rise and the increased identification of thyroid lesions during pregnancy, the number of lactating women undergoing thyroidectomy will likely increase. Surgeons performing thyroid surgery in this patient population should be aware of the risk of severe hypocalcemia and the tools necessary to correct it.