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Updated: Jan 30, 2026

Anterior Cervical Discectomy and Fusion in the Ovine Model
Published on: October 5, 2009
Parathyroid adenoma presenting with spontaneous cervical and anterior mediastinal hemorrhage: A case report
Sohini Khan1, Charles C Choe2, Ahmed Shabaik3
1Department of Surgery, Division of Surgical Oncology.
Rationale:
Spontaneous anterior cervical or mediastinal hemorrhage is a rare presentation of parathyroid adenoma.
Patient Concerns:
A 69-year-old woman presented with neck hematoma and dysphagia and was found to have a soft tissue mass adjacent to her thyroid gland as seen on MRI and neck ultrasound.
Diagnosis:
Laboratory testing demonstrated elevated calcium and parathyroid hormone supporting diagnosis of parathyroid adenoma.
Interventions:
She underwent right inferior parathyroidectomy and en bloc right hemithyroidectomy due to significant fibrosis.
Outcomes:
Pathology confirmed hypercellular parathyroid and normal thyroid tissue. Postoperatively, patient's calcium and parathyroid hormone levels had normalized.
Lessons:
In conclusion, imaging may not always be specific in identifying the source of neck hematoma and so laboratory studies should be done to rule out parathyroid adenoma as the underlying etiology.
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