A Case of Spontaneous Extracapsular Hemorrhage of Intrathyroidal Parathyroid Adenoma.
10.3342/kjorl-hns.2010.53.4.245
- Author:
Ji Young CHOI
1
;
Hwa Jong YOO
;
Young Hak PARK
;
Seoung Ho CHO
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, School of Medicine, The Catholic University of Korea, Seoul, Korea. yhpark7@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Intrathyroidal parathyroid adenoma;
Hemorrhage
- MeSH:
Calcium;
Deglutition Disorders;
Ecchymosis;
Follow-Up Studies;
Hemorrhage;
Hoarseness;
Humans;
Hypercalcemia;
Hyperparathyroidism;
Neck Pain;
Parathyroid Glands;
Parathyroid Neoplasms;
Rupture;
Rupture, Spontaneous;
Skin
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2010;53(4):245-247
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intrathyroidal parathyroid adenoma is an infrequent lesion which can be explained by abnormalities during embryonic migration of the parathyroid glands. Extracapsular hemorrhage from a intrathyroidal parathyroid adenoma is extremely rare, however, due to its location near upper airway, it might cause a life-threatening situation. Therefore, if patients presented with anterior neck painful swelling, skin ecchymosis associated with dysphagia and/or hoarseness, extracapsular hemorrhage from parathyroid adenoma should be considered as a possible diagnosis. Estimation of serum calcium level is essential as the presence of hypercalcemia can help to make the diagnosis pre-operatively. As rupture of a parathyroid adenoma and cyst may lead to local dissemination of tumor cells and an increased risk of recurrent hyperparathyroidism, careful longterm follow-up is required. We report an unusual case of spontaneous rupture of intrathyroidal parathyroid adenoma with a review of literature.
