급성 경부 혈종을 일으킨 부갑상선선종 1예

• 영문명: Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature
• 발행기관: 대한두경부종양학회
• 저자명: 신태현(Tae-Hyun Shin) 박성수(Sung-Su Park) 원청세(Cheong-Se Won) 김미경(Mi Kyung Kim) 김민수(Min-Su Kim)
• 간행물 정보: 『대한두경부종양학회지』제35권 제2호, 27~30쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2019.11.30

영문 초록

Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemor-rhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic inves-tigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review

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키워드

Parathyroid adenoma Cervical hematoma Pharyngocutaneous fistula