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Article
November 1989

Massive Extracapsular Hemorrhage From a Parathyroid Cyst

Author Affiliations

USA; USA; USA; USA; USA; USA
From the Endocrine Service, Department of Medicine (Drs Simcic, McDermott, and Kidd) and the Departments of Surgery (Drs Crawford and Marx) and Pathology (Dr Ownbey), Fitzsimons Army Medical Center, Aurora, Colo.

Arch Surg. 1989;124(11):1347-1350. doi:10.1001/archsurg.1989.01410110109023
Abstract

• A 32-year-old man had a giant cervical mass, dysphagia, dyspnea, and severe hypercalcemia. A computed tomographic scan showed the mass to extend from the left mandible to the level of the aortic arch. Exploratory surgery of the neck revealed a ruptured parathyroid cyst complicated by massive hemorrhage into the cervical tissues and mediastinum. The postoperative course was uncomplicated with prompt resolution of the hypercalcemia. Although a rare occurrence, extracapsular parathyroid hemorrhage should be considered in the differential diagnosis of all rapidly evolving cervical and mediastinal masses, especially when hypercalcemia is present.

(Arch Surg. 1989;124:1347-1350)

References
1.
Capps RB.  Multiple parathyroid tumors with massive mediastinal and subcutaneous hemorrhage . Am J Med Sci . 1934;188:800-805.Article
2.
Berry BE, Carpenter PC, Fulton RE, Danielson GK.  Mediastinal hemorrhage from parathyroid adenoma simulating dissecting aneurysm . Arch Surg . 1974;108:740-741.Article
3.
Santos GH, Tseng CL, Frater RW.  Ruptured intrathoracic parathyroid adenoma . Chest . 1975;68:844-846.Article
4.
Hedman I, Hansson G, Romanus R, Tisell LE, Zachrissen BF.  Massive parathyroid hemorrhage in a case of water-clear cell hyperplasia . Acta Chir Scand . 1978;144:541-543.
5.
Jordan FT, Harness JK, Thompson NW.  Spontaneous cervical hematoma: a rare manifestation of parathyroid adenoma . Surgery . 1981;89:697-700.
6.
Wagner-Manslau C.  Maskierung eines Epithelkorperchenadenoms: Fehlinterpretation im CT . Rontgenblatter . 1984;37:314-316.
7.
Dick JA, Brame KG, Owen WJ.  Spontaneous bleeding into a parathyroid cyst . Br J Surg . 1985;72:693.Article
8.
Roma J, Carrio J, Pascual R, Oliva JA, Mallafre JM, Montoliu J.  Spontaneous parathyroid hemorrhage in a hemodialysis patient . Nephron . 1985;39:66-67.Article
9.
Black BM, Watt CF.  Cysts of parathyroid origin . Surgery . 1949;25:941-949.
10.
Clark OH.  Parathyroid cysts . Am J Surg . 1978;135:395-402.Article
11.
de Ridder VA, Brom HL, Blok P.  Hyperparathyroidism due to primary cystic parathyroid adenoma . Neth J Surg . 1986;38:134-136.
12.
Rogers LA, Fetter BF, Peete WP.  Parathyroid cyst and cystic degeneration of parathyroid adenoma . Arch Pathol Lab Med . 1969;88:476-479.
13.
Troster M, Chiu HF, McLarty TD.  Parathyroid cysts: report of a case with ultrastructural observations . Surgery . 1977;83:238-242.
14.
Rosenberg J, Orlando R, Ludwig M, Pyrtek LJ.  Parathyroid cysts . Am J Surg . 1982;143:473-480.Article
15.
Ferrara BE, Hazell S, Parker TH, Rutland ED.  Parathyroid cyst . South Med J . 1985;78:528-532.Article
16.
Albertson DA, Marshall RB, Jarman WT.  Hypercalcemic crisis secondary to a functioning parathyroid cyst . Am J Surg . 1981;141:175-177.Article
17.
Calandra DB, Shah KH, Prinz RA, et al.  Parathyroid cysts: a report of eleven cases including two associated with hyper-parathyroid crisis . Surgery . 1983;94:887-892.
18.
Knisely AJ, Magid MJ, Felix JC, Singer DB.  Parathyroid gland hemorrhage in perinatally lethal osteogenesis imperfecta . J Pediatr . 1988;112:720-725.Article
19.
Howard JE, Follis RH, Yendt ER, Connor TB.  Hyperparathyroidism: case report illustrating spontaneous remission due to necrosis of adenoma, and a study of the incidence of necroses in parathyroid adenomas . J Clin Endocrinol Metab . 1953;13:997-1008.Article
20.
Romanus R, Heimann P, Nilsson O, Hansson G.  Surgical treatment of hyperparathyroidism . Prog Surg . 1973;12:22-76.
21.
Shiraki M, Ito H, Ohkawa S, Shimada H.  Hypercalcemia due to spontaneous hemorrhage in a parathyroid adenoma during recovery from acute renal failure . Jpn J Med . 1986;25:75-79.Article
22.
Lee CM, McElhinney WT, Gall EA.  Unusual manifestations of parathyroid adenoma . Arch Surg . 1955;71:475-485.Article
23.
Lemann J, Donatelli AA.  Calcium intoxication due to primary hyperparathyroidism . Ann Intern Med . 1964;60:447-461.Article
24.
Chodauk P, Attie JN, Groder MG.  Hypercalcemic crisis coincident with hemorrhage in parathyroid adenoma . Arch Intern Med . 1965;116:416-423.Article
25.
De Groote JW:  Acute intermittent hyperparathyroidism with hemorrhage into a parathyroid adenoma . JAMA . 1969;208:2160-2161.Article
26.
Northcutt RC, Levinson JD, Earnest JB.  Hypercalcemia resulting from infarction of a parathyroid adenoma . Ann Intern Med . 1969;70:353-356.Article
27.
Barcourt F, Brun JG, Lacombe P, Dupuy P, Parlier H.  Adenome parathyroidism revele par une hemorragie sous-capsulaire massive . Presse Med . 1984;13:669-670.
28.
Gamondes JP, Maret G, Berger G, Brune J, Joud R.  Adenome parathyroidien due medistin superieur avec kyste hematique suffocant . Nouv Presse Med . 1978;7:4149-4159.
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