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Sagliker syndrome: a rare manifestation of uncontrolled secondary hyperparathyroidism in chronic renal failure – a comprehensive case report


Journal of Anesthesia & Critical Care: Open Access
Mayra Michelle Nuñez Rueda,1 Ricardo Acuña Razo,2 Erick Villafan Vazquez3 

Abstract

We present a case of a 22-year-old female patient with a history of chronic kidney disease (CKD) and secondary hyperparathyroidism, complicated by pathological fractures of both femurs and subsequent joint replacements. The patient exhibited craniofacial deformities with lytic lesions in the maxilla and mandible, airway abnormalities and cardiovascular adaptations due to hypertensive heart disease. A subtotal parathyroidectomy was performed, a combination of medications and nerve blocks was used for anesthesia induction and intubation, with subsequent bronchospasm and desaturation necessitating intervention. The surgical procedure was successful, with no further intraoperative issues.

Keywords

sagliker syndrome, surgical procedure, chronic kidney disease

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