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.
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Received: February 18, 2000 / Accepted: September 26, 2000
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Kihara, M., Yokomise, H., Yamauchi, A. et al. Spontaneous Rupture of a Parathyroid Adenoma Presenting as a Massive Cervical Hemorrhage: Report of a Case. Surg Today 31, 222–224 (2001). https://doi.org/10.1007/s005950170172
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DOI: https://doi.org/10.1007/s005950170172