RT Journal
A1 Simcic KJ, McDermott MT, Crawford GJ, Marx WH, Ownbey JL, Kidd GS
T1 MAssive extracapsular hemorrhage from a parathyroid cyst
JF Archives of Surgery
JO Archives of Surgery
YR 1989
FD November 1
VO 124
IS 11
SP 1347
OP 1350
DO 10.1001/archsurg.1989.01410110109023
UL http://dx.doi.org/10.1001/archsurg.1989.01410110109023
AB • 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)