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http://dx.doi.org/10.21593/kjhno/2019.35.2.27

Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature  

Shin, Tae-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine)
Park, Sung-Su (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine)
Won, Cheong-Se (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine)
Kim, Mi Kyung (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine)
Kim, Min-Su (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine)
Publication Information
Korean Journal of Head & Neck Oncology / v.35, no.2, 2019 , pp. 27-30 More about this Journal
Abstract
Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemorrhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic investigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review.
Keywords
Parathyroid adenoma; Cervical hematoma; Pharyngocutaneous fistula;
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1 Capps RBJAJMS. Multiple parathyroid tumors with massive mediastinal and subcutaneous hemorrhage: a case report. 1934;188:800-805.   DOI
2 Merante-Boschin I, Fassan M, Pelizzo MR, Ide EC, Rugge MJJomcr. Neck emergency due to parathyroid adenoma bleeding: a case report. 2009;3:7404.   DOI
3 Obara T, Fujimoto YJWjos. Diagnosis and treatment of patients with parathyroid carcinoma: an update and review. 1991;15:738-744.   DOI
4 Erdas E, Licheri S, Lai M, Pisano G, Pomata M, Daniele GJCi. Cervico-mediastinal hematoma secondary to extracapsular hemorrhage of parathyroid carcinoma. Clinical case and review of the literature. 2003;55:425-434.
5 Shim WS, Kim IK, Yoo SD, Kim DH. Non-functional parathyroid adenoma presenting as a massive cervical hematoma: A case report. Clin Exp Otorhinolaryngol. 2008;1:46-48.   DOI
6 Yoshimura N, Mukaida H, Mimura T, Iwata K, Amioka A, Hirabayashi N, et al. A case of an acute cervicomediastinal hematoma secondary to the spontaneous rupture of a parathyroid adenoma. Ann Thorac Cardiovasc Surg. 2014;20 Suppl:816-820.   DOI
7 Shinomiya H, Otsuki N, Takahara S, Yasui R, Sawada N, Komatsu H, et al. Parathyroid adenoma causing spontaneous cervical hematoma: two case reports. BMC Res Notes. 2015;8:726.   DOI
8 van den Broek JJ, Poelman MM, Wiarda BM, Bonjer HJ, Houdijk AP. Extensive cervicomediastinal hematoma due to spontaneous hemorrhage of a parathyroid adenoma: A case report. J Surg Case Rep. 2015;5:1-3.
9 Traini E, Bellantone R, Tempera SE, Russo S, De Crea C, Lombardi CP, et al. Is parathyroidectomy safe and effective in patients with normocalcemic primary hyperparathyroidism? 2018;403:317-323.   DOI
10 Chaffanjon PC, Chavanis N, Chabre O, Brichon PY. Extracapsular hematoma of the parathyroid glands. World J Surg. 2003;27:14-17.   DOI