Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature
10.21593/kjhno/2019.35.2.27
- Author:
Tae Hyun SHIN
1
;
Sung Su PARK
;
Cheong Se WON
;
Mi Kyung KIM
;
Min Su KIM
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Gyeonggi-do, Korea. abraxas7@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Parathyroid adenoma;
Cervical hematoma;
Pharyngocutaneous fistula
- MeSH:
Aged;
Calcium;
Ecchymosis;
Female;
Hematoma;
Hemorrhage;
Humans;
Hypopharynx;
Mucous Membrane;
Neck;
Parathyroid Neoplasms;
Parathyroidectomy;
Rupture;
Tears;
Thyroid Gland;
Thyroidectomy;
Tomography, X-Ray Computed;
Ultrasonography
- From:
Korean Journal of Head and Neck Oncology
2019;35(2):27-30
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemorrhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic investigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review
