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Massive extracapsular hemorrhage from a parathyroid cyst.
K J Simcic1, M T McDermott, G J Crawford
1Department of Medicine, Fitzsimons Army Medical Center, Aurora, Colo.
Archives of Surgery (Chicago, Ill. : 1960)
|November 1, 1989
Summary
A ruptured parathyroid cyst caused a large neck mass and severe hypercalcemia in a 32-year-old man. Prompt surgical treatment resolved symptoms, highlighting the importance of considering parathyroid hemorrhage in neck masses.
Area of Science:
- Endocrinology
- Surgical Pathology
- Medical Imaging
Background:
- Parathyroid cysts are rare, benign lesions.
- Hypercalcemia can present with diverse symptoms, including neck masses.
Observation:
- A 32-year-old male presented with a giant cervical mass, dysphagia, dyspnea, and severe hypercalcemia.
- CT imaging revealed a large mass extending from the mandible to the aortic arch.
Findings:
- Exploratory surgery identified a ruptured parathyroid cyst with massive hemorrhage into the neck and mediastinum.
- Postoperative recovery was uneventful, with rapid resolution of hypercalcemia.
Implications:
- Extracapsular parathyroid hemorrhage is a rare but critical differential diagnosis for rapidly expanding cervical and mediastinal masses.
- Prompt recognition and surgical intervention are crucial for managing this condition and resolving hypercalcemia.