In this study, a mature female is included. She was suffering with ipsilateral thyroid hemiagenesis and hyperparathyroidism. Thyroid hemiagenesis is a hereditary disease and not commonly found. A little invasive parathyroidectomy eradicated parathyroid adenoma. These lobes are associated by an isthmus. There is no obvious report regarding the possibility of thyroid hemiagenesis. In majority of the cases, thyroid related disorders such as nodular goiter and Graves disorder were observed. The

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... arch study was about a female whose age was 27 years. The study was organized at the Endocrinology Department in January 2017. The patient was suffering with fatigue, vomiting, nausea and abdominal discomfort. The patient was checked physically, except a little abdominal stiffness, other results were normal. Keywords: Primary hyperparathyroidism, Right thyroid hemiagenesis, Parathyroid adenoma.