PMID: 25726661Mar 3, 2015Paper

A case of idiopathic neck bleeding from a parathyroid cyst

Nihon Jibiinkoka Gakkai kaiho
Hirofumi ShibataYatsuji Ito

Abstract

Bleeding from parathyroid cysts is rare. The retropharyngeal space has a very soft structure and if bleeding spreads to this space, airway obstruction can easily occur. We report on a 50-year-old female case with idiopathic neck bleeding from a left parathyroid cyst without any episode of injury. The patient complained of neck swelling after exercise and went to a nearby hospital. At the hospital, the doctor thought this swelling was caused by retropharyngeal bleeding from a tumor behind the left thyroid gland. Embolization of the left thyroid artery was performed. However, the next day, airway obstruction.was occurred and she was brought to our hospital. An emergency operation was performed to open the left neck swelling region. The operation findings and pathological examination showed that the bleeding was caused by a parathyroid cyst and airway obstruction had occurred because of retropharyngeal edema. In this case, the bleeding may have been caused by torsion of the neck when the patient exercised. The retropharyngeal edema probably resulted from the delay of delivery of the lymphatic and venous return and the arterial embolization. 1 year after the operation, the patient is very well and there has been no recurrence.

References

Nov 1, 1989·Archives of Surgery·K J SimcicG S Kidd
Apr 10, 1999·The Annals of Thoracic Surgery·T W Shields, S C Immerman
Sep 25, 2001·The Laryngoscope·P S IhmN J Hardin
Jan 31, 2003·World Journal of Surgery·Philippe C J ChaffanjonPierre Yves Brichon
Jul 7, 2007·Head & Neck·Andreas ManourasIoannis Bramis
Oct 16, 2009·Journal of Medical Case Reports·Isabella Merante-BoschinMassimo Rugge
Nov 9, 2011·Auris, Nasus, Larynx·Go InokuchiTaeko Okuno

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Citations

Jul 12, 2018·Medicine·Theodosios S PapavramidisAntonios Michalopoulos

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