Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/12735
Title: Ectopic intra-vagal parathyroid adenoma.
Authors: Daruwalla, Jurstine;Sachithanandan, Nirupa;Andrews, David;Miller, Julie A
Affiliation: Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Department of Endocrinology, St. Vincent's Hospital, Victoria, Australia
Department of Anesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia
Department of Anesthesia, Perioperative and Pain Medicine Unit, The University of Melbourne, Parkville, Australia
Endocrine Surgery Unit, Royal Melbourne Hospital, Victoria, Australia
Epworth Freemasons Hospital, Victoria, Australia
University of Melbourne Department of Surgery, Victoria, Australia
Issue Date: 13-Apr-2015
Citation: Head & Neck 2015; 37(12): E200-204
Abstract: Intraneural parathyroid adenomas are rare, with only nine cases of intravagal adenomas reported. All but one of the reported cases were found following multiple neck explorations. We report the first case of non-supernumerary ectopic intravagal parathyroid identified at primary exploration.A 17 year old girl with primary hyperparathyroidism and nephrolithiasis was referred with a sestamibi scan reporting a left lower parathyroid adenoma. No eutopic parathyroid tissue was identified during full exploration of the left neck. Exploration of the carotid sheath revealed a fusiform swelling of the vagus nerve at the carotid bifurcation. Longitudinal incision of the vagal perineurium revealed a 7mm parathyroid adenoma, which was enucleated. The patient recovered uneventfully, with normalization of serum calcium and parathyroid hormone (PTH), and normal vocal cord function.This is the first reported case of non-supernumerary intravagal parathyroid adenoma resected at initial exploration. The vagus nerve is a rare location for a parathyroid adenoma, but one that should be considered, even during primary exploration. This article is protected by copyright. All rights reserved.
Internal ID Number: 25867456
URI: http://ahro.austin.org.au/austinjspui/handle/1/12735
DOI: 10.1002/hed.24068
URL: http://www.ncbi.nlm.nih.gov/pubmed/25867456
Type: Journal Article
Subjects: parathyroid adenoma
primary hyperparathyroidism
vagus nerve
Appears in Collections:Journal articles

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