Spontaneous rupture of a parathyroid adenoma presenting as a massive cervical hemorrhage: Report of a case

被引：22

作者：

Kihara, M ^{[1
]}

Yokomise, H ^{[1
]}

Yamauchi, A ^{[1
]}

Irie, A ^{[1
]}

Matsusaka, K ^{[1
]}

Miyauchi, A ^{[1
]}

机构：

[1] Kagawa Med Univ, Dept Surg 2, Kagawa 7610793, Japan

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 2001年 / 31卷 / 03期

关键词：

parathyroid adenoma; spontaneous rupture; massive cervical hemorrhage;

D O I：

10.1007/s005950170172

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report an unusual case of spontaneous rupture of a parathyroid adenoma causing cervical hemorrhage. A 60-year-old woman presented to our hospital after the sudden development of extensive ecchymosis of her neck and upper anterior chest wall. Computed tomography (CT) scanning revealed a hematoma in the left retrotracheal space, and laboratory examinations revealed significant hypercalcemia, hypophosphatemia, and a high level of intact parathyroid hormone. Primary hyperparathyroidism was diagnosed, but it was not until the hematoma had subsided, 4 months after her initial presentation, that a parathyroid adenoma was revealed by CT. An operation was performed, and a parathyroid adenoma with hemosiderin deposition was histologically diagnosed. Although this phenomenon is unusual, all endocrine surgeons should be well aware of the possibility of its occurrence.

引用

页码：222 / 224

页数：3

共 5 条

[1] Extracapsular haemorrhage from a parathyroid adenoma presenting as a massive cervical haematoma [J].