Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature

급성 경부 혈종을 일으킨 부갑상선선종 1예

  • Shin, Tae-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Park, Sung-Su (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Won, Cheong-Se (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Kim, Mi Kyung (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Kim, Min-Su (Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine)
  • 신태현 (차의과학대학교 분당차병원 이비인후과-두경부외과) ;
  • 박성수 (차의과학대학교 분당차병원 이비인후과-두경부외과) ;
  • 원청세 (차의과학대학교 분당차병원 이비인후과-두경부외과) ;
  • 김미경 (차의과학대학교 분당차병원 이비인후과-두경부외과) ;
  • 김민수 (차의과학대학교 분당차병원 이비인후과-두경부외과)
  • Received : 2019.05.30
  • Accepted : 2019.10.31
  • Published : 2019.11.30
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Abstract

Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemorrhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic investigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review.

Keywords

References

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