Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid

Mostrar todas las versiones(2)

Atraumatic spontaneous mediastinal hematomas are uncommon. They are secondary to trauma, rupture of great vessels or heart and associated to iatrogenic events. We report a case of a 61 year-old woman who consults for mediastinal hematoma without previous trauma. Imaging studies ruled out cardiac or...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Bürgesser, María Virginia, Diller, Ana, Bustos, Mario Eduardo, Debernardi, Diego Martín, Bernabeu, Francisco
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018
Materias:
hematoma mediastinal
toracotomía exploradora
paratiroides
adenoma
ectopia
inmunohistoquímica
mediastinal hematoma
thoracotomy
parathyroid
ectopy
immunohistochemistry
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/21505
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-21505
record_format ojs
spelling I10-R10-article-215052019-05-10T12:41:14Z Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid Hematoma mediastinal espontáneo secundario a ruptura de adenoma quístico de paratiroides ectoópica Bürgesser, María Virginia Diller, Ana Bustos, Mario Eduardo Debernardi, Diego Martín Bernabeu, Francisco hematoma mediastinal toracotomía exploradora paratiroides adenoma ectopia inmunohistoquímica mediastinal hematoma thoracotomy parathyroid adenoma ectopy immunohistochemistry Atraumatic spontaneous mediastinal hematomas are uncommon. They are secondary to trauma, rupture of great vessels or heart and associated to iatrogenic events. We report a case of a 61 year-old woman who consults for mediastinal hematoma without previous trauma. Imaging studies ruled out cardiac or vascular lesions. At exploratory thoracotomy, a large mediastinal hematoma was evidenced without obvious mass or bleeding vessel. The material sent to the Pathology service was diagnosed as cystic adenoma of ectopic parathyroid gland. Mediastinal hematomas are related to traumatic causes, cardiac or great vessels rupture or iatrogenic proceedings. Once these causes are ruled out, an injury of ectopic parathyroid tissue must be considered in the differential diagnosis because mediastinum is the most frequent ectopic location. Histopathological and immunohistochemical studies are useful in determining the cause-related hematoma, as in this case determined the parathyroid origin of the lesion, and to rule out involvement by other tumors. Los hematomas mediastinales espontáneos atraumáticos son infrecuentes. Suelen ser secundarios a trauma, aneurisma o ruptura de grandes vasos o corazón y por iatrogenia. Se reporta el caso de una mujer de 61 años que consulta por hematoma mediastinal atraumático. Los estudios por imágenes descartan lesiones vasculares o cardíacas. A la toracotomía exploradora se evidencia gran hematoma mediastinal sin una masa o vaso sangrante evidentes. En el material enviado al servicio de Patología se diagnostica adenoma quístico de glándula paratiroidea ectópica. Los hematomas mediastinales suelen responder a causas traumáticas, cardiovasculares o iatrogénicas. Una vez descartadas las mismas, una lesión de una paratiroides ectópica debe considerarse dentro de los diagnósticos diferenciales, ya que el mediastino es la localización ectópica más frecuente. El estudio histopatológico y de inmunohistoquímica es de utilidad para determinar la causa de la hemorragia, en este caso determinar el origen paratiroideo de la lesión y descartar otras neoplasias. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-09-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/21505 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 68 No. 4 (2011); 164-168 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 68 Núm. 4 (2011); 164-168 Revista da Faculdade de Ciências Médicas de Córdoba; v. 68 n. 4 (2011); 164-168 1853-0605 0014-6722 10.31053/1853.0605.v68.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/21505/21162 Derechos de autor 2018 Universidad Nacional de Córdoba
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic hematoma mediastinal
toracotomía exploradora
paratiroides
adenoma
ectopia
inmunohistoquímica
mediastinal hematoma
thoracotomy
parathyroid
adenoma
ectopy
immunohistochemistry
spellingShingle hematoma mediastinal
toracotomía exploradora
paratiroides
adenoma
ectopia
inmunohistoquímica
mediastinal hematoma
thoracotomy
parathyroid
adenoma
ectopy
immunohistochemistry
Bürgesser, María Virginia
Diller, Ana
Bustos, Mario Eduardo
Debernardi, Diego Martín
Bernabeu, Francisco
Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid
topic_facet hematoma mediastinal
toracotomía exploradora
paratiroides
adenoma
ectopia
inmunohistoquímica
mediastinal hematoma
thoracotomy
parathyroid
adenoma
ectopy
immunohistochemistry
author Bürgesser, María Virginia
Diller, Ana
Bustos, Mario Eduardo
Debernardi, Diego Martín
Bernabeu, Francisco
author_facet Bürgesser, María Virginia
Diller, Ana
Bustos, Mario Eduardo
Debernardi, Diego Martín
Bernabeu, Francisco
author_sort Bürgesser, María Virginia
title Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid
title_short Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid
title_full Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid
title_fullStr Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid
title_full_unstemmed Spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid
title_sort spontaneous mediastinal hematoma as initial presentation of cystic adenoma of ectopic parathyroid
description Atraumatic spontaneous mediastinal hematomas are uncommon. They are secondary to trauma, rupture of great vessels or heart and associated to iatrogenic events. We report a case of a 61 year-old woman who consults for mediastinal hematoma without previous trauma. Imaging studies ruled out cardiac or vascular lesions. At exploratory thoracotomy, a large mediastinal hematoma was evidenced without obvious mass or bleeding vessel. The material sent to the Pathology service was diagnosed as cystic adenoma of ectopic parathyroid gland. Mediastinal hematomas are related to traumatic causes, cardiac or great vessels rupture or iatrogenic proceedings. Once these causes are ruled out, an injury of ectopic parathyroid tissue must be considered in the differential diagnosis because mediastinum is the most frequent ectopic location. Histopathological and immunohistochemical studies are useful in determining the cause-related hematoma, as in this case determined the parathyroid origin of the lesion, and to rule out involvement by other tumors.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2018
url https://revistas.unc.edu.ar/index.php/med/article/view/21505
work_keys_str_mv AT burgessermariavirginia spontaneousmediastinalhematomaasinitialpresentationofcysticadenomaofectopicparathyroid
AT dillerana spontaneousmediastinalhematomaasinitialpresentationofcysticadenomaofectopicparathyroid
AT bustosmarioeduardo spontaneousmediastinalhematomaasinitialpresentationofcysticadenomaofectopicparathyroid
AT debernardidiegomartin spontaneousmediastinalhematomaasinitialpresentationofcysticadenomaofectopicparathyroid
AT bernabeufrancisco spontaneousmediastinalhematomaasinitialpresentationofcysticadenomaofectopicparathyroid
AT burgessermariavirginia hematomamediastinalespontaneosecundarioarupturadeadenomaquisticodeparatiroidesectoopica
AT dillerana hematomamediastinalespontaneosecundarioarupturadeadenomaquisticodeparatiroidesectoopica
AT bustosmarioeduardo hematomamediastinalespontaneosecundarioarupturadeadenomaquisticodeparatiroidesectoopica
AT debernardidiegomartin hematomamediastinalespontaneosecundarioarupturadeadenomaquisticodeparatiroidesectoopica
AT bernabeufrancisco hematomamediastinalespontaneosecundarioarupturadeadenomaquisticodeparatiroidesectoopica
first_indexed 2022-08-20T01:26:06Z
last_indexed 2022-08-20T01:26:06Z
_version_ 1770718969933594624

Ejemplares similares