Nontraumatic Parapharyngeal Haematoma: A Rare Lesion. (24th October 2018)

• Record Type: Journal Article
• Authors: Carneiro de Sousa, Pedro; Gambôa, Inês; Duarte, Delfim; Trigueiros-Cunha, Nuno
• Other Names: Morshed Kamal Academic Editor.
• Is Part Of: Case reports in otolaryngology. Volume 2018(2018)
• Publication Date: 2018-10-24
• Subjects: Otolaryngology -- Periodicals; Otolaryngology -- Case studies -- Periodicals; Otolaryngology; Otorhinolaryngologic Diseases; Otolaryngology; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.51
• DOI: 10.1155/2018/7340937
• Languages: English
• ISSNs: 2090-6765

Abstract

Abstract : Nontraumatic haematoma of parapharyngeal space is very rare and may cause dysphagia and dyspnea. The authors present a case report of a 74-year-old woman with sudden nontraumatic neck swelling without dyspnea and with left pharyngeal bulging and endolaryngeal displacement. Parathyroid hormone elevation and imaging exams confirmed bleeding from a parathyroid adenoma. Symptoms and signs resolved after one week of conservative treatment. There are few cases of parapharyngeal haematomas caused by parathyroid adenomas. Most patients can be managed without emergent surgery, but close airway monitoring is fundamental.