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Abstract
The development of hyperparathyroid crisis is discussed on the basis of a case report.
A patient with severe hydronephrosis, due to an impacted ureter stone, underwent a ureterolithotomy. Preoperatively, hyperparathyroidism was suspected. The changes in the parathyroid metabolism were followed postoperatively, so that acute neck exploration could be performed before the clinical hyperparathyroid crisis.
A hyperfunctioning parathyroid adenoma was removed 13 days after the first operation.