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KMID : 0356820190350020027
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Korean Journal of Head & Neck Oncology
2019 Volume.35 No. 2 p.27 ~ p.30
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Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature
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Shin Tae-Hyun
Park Sung-Su
Won Cheong-Se
Kim Mi-Kyung
Kim Min-Su
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Abstract
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Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemor-rhage 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 inves-tigation 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
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KEYWORD
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Parathyroid adenoma, Cervical hematoma, Pharyngocutaneous fistula
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