An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary Hyperparathyroidism

Although parathyroid ectopy in the mediastinum has been the subject of several publications, its location in the posterior mediastinum is very rarely reported. We report a case of a 69-year-old patient who presented with clinical symptoms of malignant hypercalcemia due to a retrotracheal mediastinal...

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Main Authors: Sani Rabiou, Boubacar Efared, Sani Aminou, Hicham Harmouchi, Kassim Sidibé, Marouane Lakranbi, Yassine Ouadnouni, Mohamed Smahi
Format: Article
Language:English
Published: SAGE Publishing 2018-11-01
Series:Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine
Online Access:https://doi.org/10.1177/1179548418811840
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spelling doaj-9e72d84530534a04909adbfffc989bef2020-11-25T03:36:23ZengSAGE PublishingClinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine1179-54842018-11-011210.1177/1179548418811840An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary HyperparathyroidismSani Rabiou0Boubacar Efared1Sani Aminou2Hicham Harmouchi3Kassim Sidibé4Marouane Lakranbi5Yassine Ouadnouni6Mohamed Smahi7Department of Thoracic Surgery, CHU Hassan II, Fès, MoroccoDepartment of Pathology, CHU Hassan II, Fès, MoroccoDepartment of Endocrinology and Metabolic Diseases, HNN, MoroccoDepartment of Thoracic Surgery, CHU Hassan II, Fès, MoroccoDepartment of Radiology, CHU Hassan II, Fès, MoroccoDepartment of Thoracic Surgery, CHU Hassan II, Fès, MoroccoFaculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fès, MoroccoFaculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fès, MoroccoAlthough parathyroid ectopy in the mediastinum has been the subject of several publications, its location in the posterior mediastinum is very rarely reported. We report a case of a 69-year-old patient who presented with clinical symptoms of malignant hypercalcemia due to a retrotracheal mediastinal parathyroid adenoma. The surgical excision leads to a quick normalisation of the phosphocalcic balance with improvement of the clinical symptoms. Ectopic hypersecreting parathyroid adenoma with life-threatening hypercalcemia should prompt radiological assessment and appropriate surgical management to prevent further clinical complications.https://doi.org/10.1177/1179548418811840
collection DOAJ
language English
format Article
sources DOAJ
author Sani Rabiou
Boubacar Efared
Sani Aminou
Hicham Harmouchi
Kassim Sidibé
Marouane Lakranbi
Yassine Ouadnouni
Mohamed Smahi
spellingShingle Sani Rabiou
Boubacar Efared
Sani Aminou
Hicham Harmouchi
Kassim Sidibé
Marouane Lakranbi
Yassine Ouadnouni
Mohamed Smahi
An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary Hyperparathyroidism
Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine
author_facet Sani Rabiou
Boubacar Efared
Sani Aminou
Hicham Harmouchi
Kassim Sidibé
Marouane Lakranbi
Yassine Ouadnouni
Mohamed Smahi
author_sort Sani Rabiou
title An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary Hyperparathyroidism
title_short An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary Hyperparathyroidism
title_full An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary Hyperparathyroidism
title_fullStr An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary Hyperparathyroidism
title_full_unstemmed An Unusual Mass of Posterior Mediastinum: A Case of Retrotracheal Parathyroid Adenoma Presenting With Primary Hyperparathyroidism
title_sort unusual mass of posterior mediastinum: a case of retrotracheal parathyroid adenoma presenting with primary hyperparathyroidism
publisher SAGE Publishing
series Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine
issn 1179-5484
publishDate 2018-11-01
description Although parathyroid ectopy in the mediastinum has been the subject of several publications, its location in the posterior mediastinum is very rarely reported. We report a case of a 69-year-old patient who presented with clinical symptoms of malignant hypercalcemia due to a retrotracheal mediastinal parathyroid adenoma. The surgical excision leads to a quick normalisation of the phosphocalcic balance with improvement of the clinical symptoms. Ectopic hypersecreting parathyroid adenoma with life-threatening hypercalcemia should prompt radiological assessment and appropriate surgical management to prevent further clinical complications.
url https://doi.org/10.1177/1179548418811840
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