Abstract

Subcapsular hemorrhage is a well-known complication of parathyroid adenoma. However, extracapsular parathyroid hemorrhage can occur as a rare phenomenon. Here, we report the case of a patient with primary hyperparathyroidism manifesting as a cervical-mediastinal and retropleural hematoma and present an overview of previously reported cases.

Highlights

  • Sometimes, benign growths called adenomas appear on one or more of a person’s parathyroid glands

  • 30 cases of extracapsular hemorrhage caused by parathyroid adenoma have since been reported [3-29] Among these cases, 21 cases (70%) were in male patients, and 9 cases (30%) were in female patients

  • Hypercalcemia was detected in 23 patients, and 2 patients had levels within or slightly lower than the normal range

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Summary

Introduction

Benign growths called adenomas appear on one or more of a person’s parathyroid glands. Adenomas cause the parathyroid gland to make more parathyroid hormone than the body needs, a condition called primary hyperparathyroidism (PHPT). Too much parathyroid hormone increases the amount of calcium in the blood stream. Parathyroid adenomas are usually discovered when a higher-than-normal calcium level shows up in a routine blood test [2].

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