Abstract
Background: Graft-dependent recurrent secondary hyperparathyroidism may occur after a total parathyroidectomy and autotransplantationin almost a quarter of patients.Methods: Ultrasound-directed enbloc resection of a sternomastoid-sited parathyroid autograft and the surrounding muscle was performedin a patient with recurrent secondary hyperparathyroidism.Results: Resolution of hyperparathyroidism occurred after the ultrasound-directed resection of the autograft was performed.Conclusion: The technique described is simple and effective. It allows for a focused operative approach ensuring complete excision ofparathyroid tissue, thus reducing the risk of further recurrence.
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