| Title | Parathyroid adenoma causing spontaneous cervical hematoma: a case report. | | Author(s) | Nito T, Miyajima C, Kimura M, Sugasawa M | | Institution | Department of Otolaryngology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan. tnito-tky@umin.ac.jp | | Source | Acta Otolaryngol Suppl 2007 Dec; (559):160-3. | | Abstract | A case of parathyroid adenoma causing a spontaneous cervical hematoma is reported. A 55-year-old woman presented with painful swallowing, dysphagia, and dyspnea. Primary hyperparathyroidism and a parathyroid tumor on the left side of the neck had been found 2 years earlier. Fiberoptic laryngoscopy and computed tomography (CT) showed a narrowing of the airway as a result of a retropharyngeal hematoma, and tracheostomy was carried out. Parathyroidectomy was performed 5 months after the absorption of the hematoma, with no complications. A pathological diagnosis revealed a parathyroid adenoma with hemosiderin deposition and fibrosis. Serum calcium and intact parathormone levels normalized postoperatively. Although a spontaneous cervical hematoma resulting from parathyroid tumors rarely occurs, it may lead to an airway compromise. Physicians should be aware of this if such tumors are managed conservatively without surgery. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18340589 |
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