Massive Extracapsular Hemorrhage From a Parathyroid Cyst

Simcic, Kenneth J.; McDermott, Michael T.; Crawford, Gayla J.; Marx, William; Ownbey, James L.; Kidd, Gerald S.

doi:10.1001/archsurg.1989.01410110109023

Cited by 51 publications

(40 citation statements)

References 14 publications

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“…Clues to the diagnosis include cervical pain when swallowing, cervical or thoracocervical ecchymosis and abnormal calcium levels. 1 Other causes of this pattern of ecchymosis include trauma, dissecting aortic aneurysm and complications of medical procedures (e.g., cardiac catheterization, central line insertions).…”

mentioning

confidence: 99%

Spontaneous cervical hematoma associated with parathyroid adenoma

Rehman

Markovski²,

Khalifa³

2010

Canadian Medical Association Journal

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confidence: 99%

Spontaneous cervical hematoma associated with parathyroid adenoma

Rehman

Markovski²,

Khalifa³

2010

Canadian Medical Association Journal

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“…This mass can appear serious if associated with pain (raising suspicion of a haemorrhagic complication). The diagnosis is eventually considered with associated hypercalcemia [18]. You will not find adenopathy in our study.…”

Section: Discussionmentioning

confidence: 73%

“…Rarely there are clinical signs corresponding to a complication: cervical pain [1,3,11,19] and/or thoracic pain [18] or compression symptoms [3,8,11,16,[18][19][20], dyspahgia (one of our observations), dysphonia [5,20] dyspnoea, dry cough or stridor [15,21] deviation and vascular compression [11,18,22]. Systemically the patient will be normal unless the cyst causes significant hyperparathyroidism which itself can be symptomless.…”

Section: Discussionmentioning

confidence: 80%

Diagnosis and Therapeutic Management of Parathyroid Cysts

Finel¹,

Mucci²,

Branger³

et al. 2012

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Objectives: The parathyroid cysts (PCs) are rare and their diagnosis and therapeutic management are not clearly established. The aim of the study was to evaluate the characteristics of parathyroid cysts. Methods and Materials: Twenty-five patients with PC were included in this retrospective study. The PCs were discovered as follows: cervical mass (n = 18), screening for other pathologies (n = 7). Intracystic parathyroid hormone determination was performed in 6 cases. Results: Eight patients presented a hyperparathyroidism. Mean cyst size was 21.1 mm (ext 4 -70 mm) by 19.8mm (5 -45 mm). Twenty four cysts were cervical (resection by cervicotomy), and one was mediastinal (resection by sternotomy). In addition to the resection of the PC, 3 adenomas, 1 hyperplasia of the parathyroid glands, 14 benign thyroid diseases and 4 papillary carcinomas were recognized and treated during the cervicotomies. Conclusion: The diagnosis of PC is uncommon and must be based primarily on the study of the cyst liquid obtained by percutaneous puncture (intracystic parathyroid hormone measurement). True PCs are non functional.

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“…Due to intricate anatomy of parathyroid and thyroid gland, clinicians are challenged to pinpoint exact etiology of the neck hematoma. However, a clinical triad of hypercalcemia, acute neck swelling and neck or chest ecchymosis suggests a ruptured adenoma as a possible cause [6]. The exact pathophysiology is largely unknown, but the imbalance between cell growth and blood supply is believed to be a possible etiology.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Anterior Neck Hematoma Associated With Rivaroxaban Leading to Primary Hyperparathyroidism and Hypercalcemia

et al. 2015

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New anticoagulation agents are now widely used for many indications. Post-marketing surveillance is intended to discover rare medication events that did not occur in clinical trials. The literature cites few reported cases of spontaneous neck hemorrhage while on anticoagulation. We report a case of an 86-year-old female with chronic atrial fibrillation who presented with spontaneous neck hematoma in the area of the parathyroid glands resulting in hyperparathyroidism and hypercalcemia while taking rivaroxaban. The hematoma spanned the anterior aspects of the neck and was confirmed via CT. The patient's anticoagulation therapy was discontinued and required intubation for airway protection. The parathyroid hormone (PTH) peaked to 176 mg/dL (upper limit of normal 65 pg/mL) followed by close to normalization of PTH and corrected calcium after appropriate treatment and stabilization of the hematoma, which did not require surgical evacuation.

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Massive Extracapsular Hemorrhage From a Parathyroid Cyst

Cited by 51 publications

References 14 publications

Spontaneous cervical hematoma associated with parathyroid adenoma

Spontaneous cervical hematoma associated with parathyroid adenoma

Diagnosis and Therapeutic Management of Parathyroid Cysts

Spontaneous Anterior Neck Hematoma Associated With Rivaroxaban Leading to Primary Hyperparathyroidism and Hypercalcemia

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