Mediastinal hemorrhage due to ectopic parathyroid hyperplasia with long-term hemodialysis: report of a case.
Mediastinal hemorrhage due to ectopic parathyroid hyperplasia with long-term hemodialysis: report of a case.
复制标题
长期血液透析致异位甲状旁腺增生纵隔出血一例。
DOI：
10.1007/s00595-015-1122-6
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发表时间：
2015
期刊：
影响因子：
2.5
通讯作者：
et al.
中科院分区：
文献类型：
--
作者：
Matsutani N;Kawamura M;et al.
继发性甲状旁腺功能亢进有时会发生在长期血液透析患者中。我们在此报告一位48岁女性，因副甲状腺异位引起纵膈腔出血而接受手术切除。由于肾衰竭，她在过去的16年里一直接受透析。她因胸痛到医院就诊，CT扫描显示前纵隔有肿瘤病变。观察到肿瘤病变的大小增加，伴有双侧胸腔积液。由于诊断为肿瘤性病变导致纵隔出血，并伴有Hb值降低，因此进行了紧急手术。血肿的病理结果显示甲状旁腺增生。这是一个罕见的病例报告，异位甲状旁腺增生导致纵隔出血，由于继发性甲状旁腺功能亢进。
Secondary hyperparathyroidism can sometimes occur among long-term hemodialysis patients. We herein present the case of a 48-year-old female who underwent surgical resection to treat a mediastinal hemorrhage from an ectopic parathyroid. She had been receiving dialysis for the past 16 years due to renal failure. She visited the hospital due to chest pain, and a CT scan revealed a tumorous lesion in the anterior mediastinum. An increase in size of the tumorous lesion, accompanied by bilateral pleural fluid, was observed. Emergency surgery was performed due to a diagnosis of a mediastinal hemorrhage from the tumorous lesion, accompanied by a decrease in the Hb value. The pathological findings of the hematoma revealed parathyroid hyperplasia. This is a rare case report of an ectopic parathyroid developing hyperplasia which caused a mediastinal hemorrhage due to secondary hyperparathyroidism.