Spontaneous cervical hematoma caused by giant parathyroid adenoma in an elderly patient: A case report

Matías‑García,Belén; Mendoza‑Moreno,Fernando; Díez‑Alonso,Manuel; Ovejero‑Merino,Enrique; Vera‑Mansilla,Cristina; Blázquez‑Martín,Alma; Quiroga‑Valcárcel,Ana; Jiménez‑Martín,Rubén; D'Amico,Rebeca; Lasa-Unzúe,Inmaculada; Gutiérrez‑Calvo,Alberto

doi:10.3892/mi.2023.125

January-February 2024 Volume 4 Issue 1

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January-February 2024 Volume 4 Issue 1

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Case Report Open Access

Spontaneous cervical hematoma caused by giant parathyroid adenoma in an elderly patient: A case report

Authors:
- Belén Matías‑García
- Fernando Mendoza‑Moreno
- Manuel Díez‑Alonso
- Enrique Ovejero‑Merino
- Cristina Vera‑Mansilla
- Alma Blázquez‑Martín
- Ana Quiroga‑Valcárcel
- Rubén Jiménez‑Martín
- Rebeca D'Amico
- Inmaculada Lasa-Unzúe
- Alberto Gutiérrez‑Calvo
View Affiliations / Copyright

Affiliations: Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain

Copyright: © Matías‑García et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
Article Number: 1
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Published online on: November 30, 2023

https://doi.org/10.3892/mi.2023.125
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Abstract

Spontaneous cervical hematoma usually occurs as a consequence of extracapsular bleeding from a parathyroid gland, generally due to the presence of an adenoma (giant adenoma), glandular hyperplasia, cystic component, or, less frequently, due to the existence of a carcinoma. The hematoma can be confined to the cervical compartment or extend to the mediastinum, potentially causing airway compression. Despite this, the recommended management in hemodynamically stable patients consists of surveillance and hospital monitoring with delayed surgery after a few weeks. On the other hand, in those patients with airway compromise and instability, emergency surgery, consisting of cervicotomy and drainage, is mandatory. The present study describes the case of a 78‑year‑old patient with a medical history of high blood pressure, non‑insulin‑dependent diabetes mellitus, dyslipidemia, moderate aortic stenosis, chronic kidney disease and sarcoidosis under pharmacological treatment who attended the emergency department due to symptoms of neck pain, an increase in soft tissue, and dyspnea on moderate exertion with an evolution leading to respiratory failure. This was secondary to a diagnosis of spontaneous cervical hematoma that required urgent surgical intervention. The results of histopathological analysis revealed that a giant parathyroid adenoma was responsible for the bleeding. The patient had a complicated post‑operative period with a prolonged admission to the intensive care unit.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Spontaneous cervical hematoma caused by giant parathyroid adenoma in an elderly patient: A case report

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