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Establishment of a Simple and Effective Rat Model for Intraoperative Parathyroid Gland Imaging
Published on: August 17, 2022
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Intrapericardial parathyroid adenoma†
Kristin L Long1, Cortney Y Lee2, Chand Ramaiah3
1Department of General Surgery, University of Kentucky, Lexington, KY, USA kristin.long@uky.edu.
Journal of Surgical Case Reports
|June 26, 2014
Summary
Primary hyperparathyroidism due to parathyroid adenoma can occur in unusual locations. This case highlights an intrapericardial parathyroid gland causing severe kidney issues after prior neck surgery.
Area of Science:
- Endocrinology
- Surgical Oncology
- Nephrology
Background:
- Primary hyperparathyroidism is frequently caused by parathyroid adenomas.
- Ectopic parathyroid glands are occasionally found in various locations, including the thoracic cavity.
Observation:
- A patient with severe, recurrent nephrolithiasis and acute renal failure underwent bilateral neck exploration for primary hyperparathyroidism.
- The initial neck exploration failed to locate the source of hyperparathyroidism.
Findings:
- Repeat imaging revealed a mediastinal parathyroid adenoma within the aortopulmonary window.
- Surgical management required a median sternotomy after failed minimally invasive thoracotomy approaches.
Implications:
- This case underscores the importance of considering ectopic parathyroid glands, even within the pericardium, in cases of persistent primary hyperparparathyroidism.
- Advanced imaging and surgical strategies may be necessary for locating and resecting mediastinal parathyroid adenomas.
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