Retro-tracheal parathyroid adenoma: A rare location of a common pathology

Sekhar Iyer, MD; Michael Simon, MD; Christopher Tan, MD; Lyle Gesner, MD; Joseph Viggiano, MD; Shalini Chhabra, MD

Radiology Case Reports (Jun 2020)

Retro-tracheal parathyroid adenoma: A rare location of a common pathology

Sekhar Iyer, MD,
Michael Simon, MD,
Christopher Tan, MD,
Lyle Gesner, MD,
Joseph Viggiano, MD,
Shalini Chhabra, MD

Affiliations

Sekhar Iyer, MD: Resident, Department of Radiology, RWJBH - Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA
Michael Simon, MD: Resident, Department of Radiology, RWJBH - Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA; Corresponding author.
Christopher Tan, MD: Resident, Department of Radiology, RWJBH - Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA
Lyle Gesner, MD: Program Director, Chief of Neuroradiology, Department of Radiology, RWJBH - Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA
Joseph Viggiano, MD: Chief of Nuclear Medicine, Department of Radiology, RWJBH - Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA
Shalini Chhabra, MD: Associate Attending, Department of Radiology, RWJBH - Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA

Journal volume & issue: Vol. 15, no. 6
pp. 672 – 674

Abstract

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Ectopic parathyroid adenoma in the mediastinum has been reported in several publications; however, its location in the posterior mediastinum, especially a retro-tracheal location, has been rarely reported. We report a case of a 61-year-old patient who presented with clinical symptoms of malignant hypercalcemia due to a retro-tracheal mediastinal parathyroid adenoma. The surgical excision normalized the phosphocalcic balance with improvement in the patient's clinical symptoms. An ectopic hypersecreting parathyroid adenoma with life-threatening hypercalcemia should prompt radiological assessment and appropriate surgical management to prevent significant clinical complications.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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