Abstract
Parathyroid cysts are relatively rare lesions of the neck, usually millimetric in size and without clinical consequences. By contrast, macrocystic forms require additional investigations and often treatment. A cervical hematoma caused by a ruptured parathyroid cyst is extremely rare and usually occurs due to cystic degeneration of an adenoma. We present the case of a male patient with spontaneous cervical hematoma caused by a ruptured parathyroid cyst with rapidly evolving and severe compressive manifestations occurring after an episode of upper respiratory infection. Differential diagnosis is difficult, especially under emergency conditions, and chirugical treatment should not be delayed.
Highlights
Parathyroid cysts are relatively rare lesions of the neck, usually millimetric in size and without clinical consequences
Marea majoritate (85%) sunt situate la nivel cervical, au Adresă de corespondenţă: Dr Claudiu Ţupea, Institutul Naţional de Endocrinologie „C.I
Din datele raportate in literatură, hematoamele cervicale spontane cu origine paratiroidiană sunt extrem de rare și apar în cele mai multe cazuri ca urmare a unei degenerări hemoragice într-un adenom [9]
Summary
Parathyroid cysts are relatively rare lesions of the neck, usually millimetric in size and without clinical consequences. Acestea din urmă reprezintă una dintre cauzele mai puţin frecvente, fiind adesea ignorate în etapele iniţiale de stabilire a diagosticului unei mase cervicale clinic evidente. Chisturile de glandă paratiroidă sunt formaţiuni cervicale sau mediastinale, în funcţie de localizarea glandei afectate, și au fost descrise iniţial în 1880 [2].
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