Mediastinal hemorrhage due to ectopic parathyroid hyperplasia with long-term hemodialysis: report of a case

Noriyuki Matsutani, Masafumi Kawamura, Hitoshi Dejima, Yusuke Takahashi

Research output: Contribution to journalArticle

Abstract

Secondary hyperparathyroidism can sometimes occur among long-term hemodialysis patients. We herein present the case of a 48-year-old female who underwent surgical resection to treat a mediastinal hemorrhage from an ectopic parathyroid. She had been receiving dialysis for the past 16 years due to renal failure. She visited the hospital due to chest pain, and a CT scan revealed a tumorous lesion in the anterior mediastinum. An increase in size of the tumorous lesion, accompanied by bilateral pleural fluid, was observed. Emergency surgery was performed due to a diagnosis of a mediastinal hemorrhage from the tumorous lesion, accompanied by a decrease in the Hb value. The pathological findings of the hematoma revealed parathyroid hyperplasia. This is a rare case report of an ectopic parathyroid developing hyperplasia which caused a mediastinal hemorrhage due to secondary hyperparathyroidism.

Original languageEnglish
Pages (from-to)1572-1574
Number of pages3
JournalSurgery Today
Volume45
Issue number12
DOIs
Publication statusPublished - 2015 Dec 1
Externally publishedYes

Fingerprint

Hyperplasia
Renal Dialysis
Secondary Hyperparathyroidism
Hemorrhage
Mediastinum
Chest Pain
Hematoma
Renal Insufficiency
Dialysis
Emergencies

Keywords

  • Ectopic parathyroid
  • Hemodialysis
  • Mediastinal hemorrhage
  • Secondary hyperparathyroidism

ASJC Scopus subject areas

  • Surgery

Cite this

Mediastinal hemorrhage due to ectopic parathyroid hyperplasia with long-term hemodialysis : report of a case. / Matsutani, Noriyuki; Kawamura, Masafumi; Dejima, Hitoshi; Takahashi, Yusuke.

In: Surgery Today, Vol. 45, No. 12, 01.12.2015, p. 1572-1574.

Research output: Contribution to journalArticle

Matsutani, Noriyuki ; Kawamura, Masafumi ; Dejima, Hitoshi ; Takahashi, Yusuke. / Mediastinal hemorrhage due to ectopic parathyroid hyperplasia with long-term hemodialysis : report of a case. In: Surgery Today. 2015 ; Vol. 45, No. 12. pp. 1572-1574.
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