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Establishment of a Simple and Effective Rat Model for Intraoperative Parathyroid Gland Imaging
Published on: August 17, 2022
Parathyroid adenoma causing spontaneous cervical hematoma: a case report
Takaharu Nito1, Chie Miyajima, Miwako Kimura
1Department of Otolaryngology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan. tnito-tky@umin.ac.jp
Acta Oto-Laryngologica. Supplementum
|April 12, 2008
Summary
A rare case of parathyroid adenoma causing a spontaneous cervical hematoma led to airway compromise in a 55-year-old woman. Surgical removal of the parathyroid adenoma normalized hormone levels and resolved the hematoma.
Area of Science:
- Endocrinology
- Surgical Pathology
Background:
- Parathyroid adenomas are common causes of primary hyperparathyroidism.
- Spontaneous cervical hematomas are rare complications of parathyroid tumors.
Observation:
- A 55-year-old woman with a history of parathyroid adenoma presented with acute airway compromise.
- Imaging revealed a retropharyngeal hematoma compressing the airway.
- A tracheostomy was performed to secure the airway.
Findings:
- The parathyroid adenoma showed hemosiderin deposition and fibrosis.
- Postoperative normalization of serum calcium and parathormone levels confirmed successful treatment.
- The hematoma resolved spontaneously before parathyroidectomy.
Implications:
- Parathyroid adenomas, though rare, can cause life-threatening airway obstruction via spontaneous hematoma formation.
- Conservative management of parathyroid tumors without surgical consideration may pose risks.
- Awareness of this potential complication is crucial for managing patients with parathyroid disease.
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