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Case Reports
. 2021 Jul 1;16(9):2382-2387.
doi: 10.1016/j.radcr.2021.06.014. eCollection 2021 Sep.

The role of unhenanced CT in a ruptured parathyroid adenoma: A case report

Romilda Lombardi  1 , Carmine Franco Muccio  2 , Valeria D'Auria  1 , Valerio D'Agostino  3 , Stefano Genovese  3 , Alessandro Monaci  3 , Pasquale La Selva  3 , Anna Castaldo  3 , Ilaria Pesce  3 , Alfonso Bencivenga  1
Affiliations
Case Reports

The role of unhenanced CT in a ruptured parathyroid adenoma: A case report

Romilda Lombardi et al. Radiol Case Rep. .

Erratum in

Abstract

Acute bleeding is a rare and potentially life-threatening complication of a Parathyroid Adenoma described in just a few cases in literature. We describe the case of a healthy 53-years-old female patient without prior history of parathyroid pathology who presented with acute onset of neck and mediastinal hemorrhage. Ultrasound (US), Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) combined with laboratory tests led to the diagnosis of a bleeding Parathyroid adenoma. This case is presented to sensitize both Radiologists and Clinicians about this rare presentation that should be put into differential diagnosis of acute neck swelling and pain.

Keywords: Computed tomography; Magnetic resonance imaging; Mediastinal hemorrhage; Parathyroid adenoma; Susceptibility artifacts.

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Figures

Fig 1
Fig. 1
Image depicting swelling of the patient's neck (white arrow) caused by the underlying hemorrhage.
Fig 2
Fig. 2
Ultrasound image shows, under the lower right lobe of the thyroid, a hypoechoic capsulated nodular formation (black arrow) of 22 × 18 mm, with intense color-Doppler signal.
Fig 3
Fig. 3
Unenhanced CT image shows dishomogeneous density in the upper and anterior mediastinum (hemorrhage). An ovalar hyperdense lesion on the right side of the upper trachea is shown (white arrow).
Fig 4
Fig. 4
Contrast-enhanced CT images (A: axial, B coronal, C sagittal) shows homogeneous enhancement of the ovalar lesion (white arrow).
Fig 5
Fig. 5
T1 TSE Dark-fluid images (A: axial, B coronal, C sagittal) shows a dishomogeneous tissue consistent with hemorrhage surrounding a poorly defined ovalar lesion on the right side of the upper trachea is shown (white arrow).
Fig 6
Fig. 6
T2 TSE coronal image depicts a mildly hyperintense nodular lesion (white arrow) surrounded by hemorrhage exerting mass effect on the esophagus.
See this image and copyright information in PMC

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