[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
November 1989

Massive Extracapsular Hemorrhage From a Parathyroid Cyst

Author Affiliations

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

• 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)