Primary hyperparathyroidism (PHPT) typically occurs in middle-aged and older women, but a recent study reported in the year 2017 reported the incidence of PHPT to be 4.7 to 6.2 cases per 100,000 women of reproductive age every year. The most frequent complications are hypercalcemic crisis, pre-eclampsia, intrauterine growth retardation, hyperemesis, preterm labor, neonatal tetany, nephrolithiasis, pancreatitis, and neonatal death. PHPT during pregnancy is a fatal condition and can have serious clinical implications; therefore, it is important to recognize its pathology and plan a careful treatment strategy during pregnancy.

The case presented below describes one such case of PHPT in pregnancy which was managed successfully. Case presentation : After having previous endoscopic treatment, a 34-year-old woman presented to the endocrinology department with a 5-year history of…