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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2018; 10(06): 215-217
DOI: 10.4103/ijmbs.ijmbs_74_18
Case Report

Ectopic parathyroid adenoma in the carotid sheath

Maisoon El Hemri
1   Department of Medicine, Benghazi Medical Center, Benghazi, Libya
,
Abdulwahab Elbarsha
1   Department of Medicine, Benghazi Medical Center, Benghazi, Libya
2   Department of Medicine, Faculty of Medicine, University of Benghazi, Benghazi, Libya
,
Rafik Elmehdawi
1   Department of Medicine, Benghazi Medical Center, Benghazi, Libya
2   Department of Medicine, Faculty of Medicine, University of Benghazi, Benghazi, Libya
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Parathyroid adenomas can be found in various ectopic positions including the carotid sheath. We report a 52-year-old Libyan woman who presented with neck mass and a fragility fracture. Her serum Calcium was elevated (14.3 mg/dl), as well as her parathyroid hormone (1202 pg/ml). Technetium-99m-sestamibi scan showed a large localized parathyroid adenoma at the upper lateral left aspect of the neck just below the left submandibular gland. The patient underwent surgical resection, and the histopathology confirmed the diagnosis of parathyroid adenoma. The rarity of the ectopic parathyroid adenoma in the carotid sheath led to a delayed diagnosis of this case. Therefore, ectopic parathyroid adenoma should be considered in the differential diagnosis of masses that arise from the carotid sheath.

Key-words:

Adenoma - carotid body tumor - carotid sheath - ectopic - hyperparathyroidism - parathyroid - sestamibi


Publication History

Article published online:
07 July 2022

© 2018. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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