Parathyroid adenoma with intraoperative indocyanine green localization: a case report

Varshini Chandrasekaran; Narayanan Rajavelu; Naveen Padmanabhan

doi:10.18203/2349-2902.isj20253859

Authors

Varshini Chandrasekaran Department of General Surgery, Sringeri Sharadha Equitas Hospital, Chennai, Tamil Nadu, India
Narayanan Rajavelu Department of General Surgery, Sringeri Sharadha Equitas Hospital, Chennai, Tamil Nadu, India
Naveen Padmanabhan Department of Surgical Oncology, Sringeri Sharadha Equitas Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20253859

Keywords:

ICG fluorescence, Parathyroid localization, Parathyroidectomy, Intraoperative imaging

Abstract

Intra operative identification of parathyroid glands poses a major difficulty while performing parathyroidectomy or total thyroidectomy, due to the close resemblance with fatty tissues and risk of hypocalcemia. To minimize these complications and to enhance the chances of accurate clinical identification, a number of techniques have been developed and tested along the years. One such novel technique that has been developed is the use of indocyanine green (ICG) and near infrared fluorescence imaging. Per operative ICG fluorescence aids in the accurate identification of the glandular tissue and targeted resection of the same. The following case report is that of a 65-year-old male who was evaluated for hip pain and found to have parathyroid adenoma of the right gland and how intra operative ICG administration aided us in the accurate identification and resection of the gland.

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