Persistent challenges in the diagnosis of acute pancreatitis due to primary hyperparathyroidism during pregnancy

Figure 3 Challenges in the early diagnosis of acute pancreatitis due to primary hyperthyroidism during pregnancy. The difficulties in diagnosing primary hyperparathyroidism during pregnancy are related primarily to physiological changes, which lead to overlapping clinical symptoms and affect the results of biochemical tests. Additionally, imaging tests are limited in use because of the potential negative impact on the fetus. ⁹⁹mTc: 99m Technetium; CT: Computed tomography; GFR: Glomerular filtration rate; MRI: Magnetic resonance imaging; PTH: Parathyroid hormone; US: Ultrasound.