Intrapericardial parathyroid adenoma†

Kristin L Long, Cortney Y Lee, Chand Ramaiah, David A Sloan, Kristin L Long, Cortney Y Lee, Chand Ramaiah, David A Sloan

Abstract

Primary hyperparathyroidism from a parathyroid adenoma is common. Ectopic parathyroid glands have been reported in numerous locations, including the chest. We present a single case report of an intrapericardial parathyroid gland found after failed bilateral neck exploration. The patient presented with severe, recurrent nephrolithiasis and acute renal failure prior to his surgical intervention. Repeat imaging identified a parathyroid adenoma in the mediastinum that was localized to the aortopulmonary window. After attempts at minimally invasive thoracotomy and posterolateral thoracotomy, a median sternotomy was ultimately required to identify the adenoma.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013.

Figures

Figure 1:
Figure 1:
Sestamibi/SPECT imaging indicating a parathyroid adenoma in the mediastinum
Figure 2:
Figure 2:
Intraoperative photograph showing the cut edge of the pericardium and the parathyroid adenoma just lateral to the aortic root (arrow)
Figure 3:
Figure 3:
0.610 g parathyroid adenoma removed in its entirety

References

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Source: PubMed

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