TRAUMATIC RUPTURE OF A CERVICAL PARATHYROID ADENOMA

Citation
Cj. Shanley et al., TRAUMATIC RUPTURE OF A CERVICAL PARATHYROID ADENOMA, Surgery, 115(3), 1994, pp. 394-397
Citations number
10
Categorie Soggetti
Surgery
Journal title
ISSN journal
00396060
Volume
115
Issue
3
Year of publication
1994
Pages
394 - 397
Database
ISI
SICI code
0039-6060(1994)115:3<394:TROACP>2.0.ZU;2-U
Abstract
Background. Spontaneous rupture of a hyperplastic parathyroid gland or adenoma resulting in extracapsular hemorrhage is extremely rare. Meth ods. We report a case of traumatic rupture of a cervical parathyroid g land adenoma. Results. The patient had progressive stridor, neck swell ing, and chest and back pain with evidence of ongoing blood loss resul ting in airway compromise. Exploration of the neck and superior medias tinum revealed hypercellular parathyroid tissue consistent with adenom a or hyperplasia. Conclusions. Traumatic rupture of an enlarged parath yroid gland is a distinct and potentially lethal cause of unexplained cervical or mediastinal hemorrhage after blunt neck trauma. Failure to consider the diagnosis may result in delayed operative intervention w ith persistent hemorrhage resulting in airway compromise.