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Massive Extracapsular Hemorrhage From a Parathyroid Cyst
MAJ Kenneth J. Simcic, MC;
LTC Michael T. McDermott, MC;
MAJ Gayla J. Crawford, MC;
MAJ William H. Marx, MC;
LTC James L. Ownbey, MC;
COL Gerald S. Kidd, MC
Arch Surg. 1989;124(11):1347-1350.
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)
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.
Footnotes
Accepted for publication July 1, 1989.
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the US Army or the Department of Defense.
Reprint requests to Endocrine Service, William Beaumont Army Medical Center, El Paso, TX 79920-5001 (Dr Simcic).
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