Spontaneous hemorrhage of a parathyroid adenoma into the mediastinum
| Autor: | Safwan M. Murad, Athanasios Soskos, Bruce R. Krawisz, Steven H. Yale, Jingbo Huang, Andrew C. Urquhart |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adenoma
medicine.medical_specialty Endocrinology Diabetes and Metabolism Neck mass Physical examination Hemorrhage Diagnosis Differential Endocrinology medicine Mediastinal Diseases Humans Spontaneous hemorrhage Parathyroid adenoma Neck pain Neck Pain medicine.diagnostic_test Rupture Spontaneous business.industry Mediastinum Magnetic resonance imaging General Medicine Middle Aged medicine.disease Dysphagia Surgery medicine.anatomical_structure Parathyroid Neoplasms Treatment Outcome Female Radiology medicine.symptom business Deglutition Disorders |
| Zdroj: | Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists. 18(4) |
| ISSN: | 1934-2403 |
| Popis: | Objective To describe the case of a previously healthy 56-year-old woman, who presented with acute, nontraumatic pain in the left side of the neck and mild dysphagia. Methods We report the results of the physical examination, imaging studies, and clinical laboratory studies. In addition, we describe the patient’s hospital course after surgical intervention. Results A patient who sought medical attention because of acute, nontraumatic neck pain and dysphagia was subsequently found to have acute extracapsular hemorrhage of a parathyroid adenoma. Computed tomography and magnetic resonance imaging studies revealed a mass effect beginning in the neck and extending into the mediastinum. Surgical exploration of the neck and histopathologic evaluation confirmed the diagnosis of spontaneous rupture of a parathyroid adenoma with associated hemorrhage. Conclusion Extracapsular hemorrhage of a parathyroid adenoma is rare and necessitates a high index of clinical suspicion for diagnosis. This diagnosis should be considered in a patient who presents with acute anemia, hypercalcemia, and a neck mass. (Endocr Pract. 2012;18: e57-e60) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|