Spontaneous cervical hematoma: a rare manifestation of parathyroid adenoma

Surgery. 1981 Jun;89(6):697-700.


Extracapsular hemorrhage from spontaneous rupture of a hyperplastic parathyroid gland is exceedingly rare. Rupture of an intrathoracic parathyroid adenoma mimicking a dissecting thoracic aortic aneurysm has been reported in two cases. Hypercalcemic crisis associated with contained hemorrhage within a parathyroid adenoma has been well documented. We present the first reported case of spontaneous rupture and extracapsular hemorrhage of a cervical parathyroid adenoma. Serum calcium levels should be obtained when spontaneous cervical or mediastinal hemorrhage develops without obvious cause.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / diagnosis*
  • Adenoma / surgery
  • Adult
  • Calcium / blood
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / pathology
  • Female
  • Hematoma / pathology*
  • Humans
  • Male
  • Middle Aged
  • Parathyroid Neoplasms / diagnosis*
  • Parathyroid Neoplasms / surgery
  • Radiography
  • Rupture, Spontaneous


  • Calcium