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Establishment of a Simple and Effective Rat Model for Intraoperative Parathyroid Gland Imaging
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Parathyroid adenoma causing spontaneous cervical hematoma: two case reports
Hitomi Shinomiya1, Naoki Otsuki2, Shin-Ichi Takahara3
1Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-Ku, Kobe, 6500017, Japan. takami@kobe-u.ac.jp.
BMC Research Notes
|November 28, 2015
Summary
Spontaneous rupture of parathyroid adenoma causing neck hematoma is rare but serious. Early diagnosis and surgical tumor removal can normalize calcium and parathyroid hormone levels.
Area of Science:
- Endocrinology
- Surgical Pathology
Background:
- Spontaneous rupture of cervical parathyroid adenoma with extracapsular hemorrhage is a rare clinical event.
- This condition can lead to significant cervical and mediastinal hematoma, posing life-threatening risks.
Observation:
- Two cases are presented: a 76-year-old female with pharyngeal discomfort and a 62-year-old male with chest ecchymosis.
- Both patients exhibited submucosal hemorrhage and were diagnosed with parathyroid adenoma and extracapsular bleeding via hypercalcemia, elevated parathyroid hormone, and thyroid nodules.
Findings:
- Surgical excision of the parathyroid adenoma was performed 7 months post-presentation in both cases.
- Post-surgery, both patients showed normalization of serum calcium and parathyroid hormone levels.
Implications:
- Extracapsular bleeding from parathyroid adenoma should be included in the differential diagnosis for non-traumatic neck hematomas.
- Prompt surgical intervention for parathyroid adenoma with extracapsular bleeding leads to favorable biochemical outcomes.
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