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  • Title: Spontaneous cervical hematoma: a rare manifestation of parathyroid adenoma.
    Author: Jordan FT, Harness JK, Thompson NW.
    Journal: Surgery; 1981 Jun; 89(6):697-700. PubMed ID: 7245031.
    Abstract:
    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.
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