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Spontaneous parathyroid adenoma hemorrhage
Yasumasa Shundo1, Hiroshi Nogimura, Yusuke Kita
1Department of Thoracic Surgery, Fujieda General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka 426-8677, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|October 18, 2002
Summary
Spontaneous parathyroid adenoma hemorrhage is rare. This case highlights the importance of checking serum calcium levels in patients with unexplained neck or mediastinal hematomas.
Area of Science:
- Endocrinology
- Surgical Pathology
- Medical Imaging
Background:
- Spontaneous parathyroid adenoma hemorrhage is an uncommon cause of neck masses and potential complications.
- Initial presentation can mimic other conditions such as descending necrotizing mediastinitis or peritonsillar abscess.
Observation:
- A 50-year-old male presented with sore throat, neck swelling, and ecchymosis.
- Computed tomography revealed a large low-density area in the neck and mediastinum.
- Initial surgical drainage for suspected infection yielded no abscess, and cultures were negative.
Findings:
- Following hematoma resolution, cervical ultrasonography identified a parathyroid adenoma.
- Marginally elevated serum calcium levels were noted.
- The clinical course was consistent with spontaneous hemorrhage from the parathyroid adenoma.
Implications:
- This case underscores the necessity of considering parathyroid adenoma hemorrhage in the differential diagnosis of unexplained cervical and mediastinal hematomas.
- Measuring serum calcium is crucial in evaluating such cases.
- Early recognition can prevent misdiagnosis and guide appropriate management.