Radioguided parathyroidectomy in forearm graft for recurrent hyperparathyroidism

Luca Revelli, Guglielmo Ardito, Erica Giustozzi, Alessandro Giordano

Research output: Contribution to journalArticlepeer-review


We report a peculiar case of recurrent hyperparathyroidism caused by hyperplasia of a forearm graft implanted following a total parathyroidectomy in a 38-year-old patient with chronic renal failure. The forearm graft hyperplasia was detected using (99)Tc(m)-sestamibi scanning, which identified hyperplastic transplanted parathyroid tissue in the forearm of the patient. During the initial surgery, the surgeon failed to mark the parathyroid tissue with sutures or clips to facilitate locating it. Therefore, we referred the patient for radioguided surgery. This surgical procedure allowed us to locate and completely remove the hyperfunctioning transplanted parathyroid tissue.
Original languageEnglish
Pages (from-to)E1-E3
JournalBritish Journal of Radiology
Publication statusPublished - 2012


  • parathyroidectomy
  • radioguided surgery


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