https://doi.org/10.4081/ecj.2021.9548
An unusual case of neck hematoma and hypercalcemia
Submitted: 4 December 2020
Accepted: 27 May 2021
Published: 21 September 2021
Accepted: 27 May 2021
Abstract Views: 1035
PDF: 214
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
One of the most frequent cause of hypercalcemia is primary hyperparathyroidism, which can lead to systemic involvement and life-threatening conditions. We described a rare case of a parathyroid adenoma rupture with consequent bleeding and respiratory airway compression. An 84-year-old man presented to the emergency department complaining neck swelling and related dysphagia. A computer tomography of the neck revealed an extensive left lateral hematoma, and a neck ultrasonography evidenced a hemorrhagic parathyroid adenoma, later confirmed by a 99 mTc-MIBI scintigraphy. To date only 40 cases of ruptured parathyroid adenomas have been described in literature, however due to the possibility of massive bleeding and compression of the airways this diagnosis should always be ruled out. The rupture of a parathyroid adenoma is a rare, but possibly life-threatening event due to airways compression and hemodynamic instability. Testing for hypercalcemia and hyperparathyroidism is mandatory to obtain a correct diagnosis.
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How to Cite
Porta, L., Ghezzi, R., Cadonici , A. C., Dalino Ciaramella , P., Martes, C., Basile, A., & Bellone, A. (2021). An unusual case of neck hematoma and hypercalcemia. Emergency Care Journal, 17(3). https://doi.org/10.4081/ecj.2021.9548
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