Acute airway compromise due to parathyroid tumour apoplexy
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Spontaneous haemorrhage into a parathyroid adenoma is a rare and potentially life-threatening presentation.We report the case of a 45-year-old female recently diagnosed with primary hyperparathyroidism who presented with chest discomfort and acute airway compromise due to spontaneous extracapsular haemorrhage into a parathyroid adenoma. Computed tomography (CT) imaging showed a hypopharyngeal haematoma extending 10 cm into the superior mediastinum. Surgical decompression of the cyst followed by enbloc resection of the parathyroid tumour was performed after elective intubation. Calcium and parathyroid hormone (PTH) levels had fallen prior to surgery and remain normal postoperatively...

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