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

  • Published online on: November 30, 2023     https://doi.org/10.3892/mi.2023.125
  • Article Number: 1
  • Copyright : © Matías‑García et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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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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Spandidos Publications style
Matías‑García B, Mendoza‑Moreno F, Díez‑Alonso M, Ovejero‑Merino E, Vera‑Mansilla C, Blázquez‑Martín A, Quiroga‑Valcárcel A, Jiménez‑Martín R, D'Amico R, Lasa-Unzúe I, Lasa-Unzúe I, et al: Spontaneous cervical hematoma caused by giant parathyroid adenoma in an elderly patient: A case report. Med Int 4: 1, 2024.
APA
Matías‑García, B., Mendoza‑Moreno, F., Díez‑Alonso, M., Ovejero‑Merino, E., Vera‑Mansilla, C., Blázquez‑Martín, A. ... Gutiérrez‑Calvo, A. (2024). Spontaneous cervical hematoma caused by giant parathyroid adenoma in an elderly patient: A case report. Medicine International, 4, 1. https://doi.org/10.3892/mi.2023.125
MLA
Matías‑García, B., Mendoza‑Moreno, F., Díez‑Alonso, M., Ovejero‑Merino, E., Vera‑Mansilla, C., Blázquez‑Martín, A., Quiroga‑Valcárcel, A., Jiménez‑Martín, R., D'Amico, R., Lasa-Unzúe, I., Gutiérrez‑Calvo, A."Spontaneous cervical hematoma caused by giant parathyroid adenoma in an elderly patient: A case report". Medicine International 4.1 (2024): 1.
Chicago
Matías‑García, B., Mendoza‑Moreno, F., Díez‑Alonso, M., Ovejero‑Merino, E., Vera‑Mansilla, C., Blázquez‑Martín, A., Quiroga‑Valcárcel, A., Jiménez‑Martín, R., D'Amico, R., Lasa-Unzúe, I., Gutiérrez‑Calvo, A."Spontaneous cervical hematoma caused by giant parathyroid adenoma in an elderly patient: A case report". Medicine International 4, no. 1 (2024): 1. https://doi.org/10.3892/mi.2023.125