Advertisement

Surgery Today

, Volume 31, Issue 3, pp 222–224 | Cite as

Spontaneous Rupture of a Parathyroid Adenoma Presenting as a Massive Cervical Hemorrhage: Report of a Case

  • Minoru Kihara
  • Hiroyasu Yokomise
  • Akira Yamauchi
  • Akemi Irie
  • Kenichi Matsusaka
  • Akira Miyauchi
Case Reports

Abstract

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.

Key words Parathyroid adenoma Spontaneous rupture Massive cervical hemorrhage 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Minoru Kihara
    • 1
  • Hiroyasu Yokomise
    • 1
  • Akira Yamauchi
    • 1
  • Akemi Irie
    • 1
  • Kenichi Matsusaka
    • 2
  • Akira Miyauchi
    • 3
  1. 1.Second Department of Surgery, Kagawa Medical University, 1750-1 Miki-cho, Kita-gun, Kagawa 761-0793, JapanJP
  2. 2.Higashiura Heisei Hospital, 1867 Kuruma, Higashiura-cho, Tuna-gun, Hyogo 656-2351, JapanJP
  3. 3.Kuma Hospital, 8-2-35 Shimoyamate-dori, Chuo-ku, Kobe 650-0011, JapanJP

Personalised recommendations