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The ‘Sentinel Clot’ Sign in Spontaneous Retropharyngeal Hematoma Secondary to Parathyroid Apoplexy
Spontaneous retropharyngeal hemorrhage from a cervical parathyroid adenoma is a rare complication of primary hyperparathyroidism. Because of its rarity, it has seldom been documented in the radiologic or ENT literature. Patients may present with a variety of manifestations, ranging from dysphagia to...
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Published in: | Ear, nose, & throat journal nose, & throat journal, 2006-09, Vol.85 (9), p.606-608 |
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creator | Koulouris, George Pianta, Marcus Stuckey, Stephen |
description | Spontaneous retropharyngeal hemorrhage from a cervical parathyroid adenoma is a rare complication of primary hyperparathyroidism. Because of its rarity, it has seldom been documented in the radiologic or ENT literature. Patients may present with a variety of manifestations, ranging from dysphagia to dysphonia to life-threatening dyspnea or hemorrhage. Awareness of a possible thyroid or parathyroid etiology may expedite treatment and prevent unnecessary interventions. We present a case of spontaneous retropharyngeal hemorrhage in which the “sentinel clot” sign enabled us to identify the lesion of origin. |
doi_str_mv | 10.1177/014556130608500915 |
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Because of its rarity, it has seldom been documented in the radiologic or ENT literature. Patients may present with a variety of manifestations, ranging from dysphagia to dysphonia to life-threatening dyspnea or hemorrhage. Awareness of a possible thyroid or parathyroid etiology may expedite treatment and prevent unnecessary interventions. 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We present a case of spontaneous retropharyngeal hemorrhage in which the “sentinel clot” sign enabled us to identify the lesion of origin.</description><subject>Abscess</subject><subject>Adenoma - complications</subject><subject>Aged</subject><subject>Causes of</subject><subject>Complications and side effects</subject><subject>Cysts</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hematoma - etiology</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Hyperparathyroidism</subject><subject>Parathyroid diseases</subject><subject>Parathyroid Neoplasms - complications</subject><subject>Patients</subject><subject>Physical examinations</subject><subject>Retroperitoneal Space</subject><subject>Thyroid diseases</subject><subject>Thyroid gland</subject><issn>0145-5613</issn><issn>1942-7522</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNp9ksFq3DAQhkVpaLZpX6CHIlrozYkky5Z1XJa2KQQSuunZaOWxrWBLriRD95bHaF8vT1Itu5CGLmEOgp_vn2F-DULvKDmnVIgLQnlRlDQnJakKQiQtXqAFlZxlomDsJVrsgGxHnKLXIdwRkoSSvkKnVBDOeU4WqL3tAT_c_16DjcbCgFeDiw_3f_DadBYbi9eTs1FZcHPA3yF6N_XKb20HasCXMKroRoXXoJ1tko6jwzfKq9hvvTMNXk5uGuDX9g06adUQ4O3hPUM_vny-XV1mV9dfv62WV5nmOSuyvGobTfimaaDRUEpe8U2uFRWbioMWIGRaNGelYlDxlnHgrZKsFKUspdaU5Wfow77v5N3PGUKs79zsbRpZMyI5TVHJBH3cQ50aoDa2ddErPZqg6yUtWCE4KXdUdoTqwIJXg7PQmiQ_4c-P8KkaGI0-avj0j6FPgcY-uGGOxtnwFGR7UHsXgoe2nrwZU9o1JfXuEur_LyGZ3h-SmDcjNI-Ww9cn4GIPBNXBY0zPtPwLe9C6dg</recordid><startdate>200609</startdate><enddate>200609</enddate><creator>Koulouris, George</creator><creator>Pianta, Marcus</creator><creator>Stuckey, Stephen</creator><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>200609</creationdate><title>The ‘Sentinel Clot’ Sign in Spontaneous Retropharyngeal Hematoma Secondary to Parathyroid Apoplexy</title><author>Koulouris, George ; 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subjects | Abscess Adenoma - complications Aged Causes of Complications and side effects Cysts Female Health aspects Hematoma - etiology Hemorrhage Humans Hyperparathyroidism Parathyroid diseases Parathyroid Neoplasms - complications Patients Physical examinations Retroperitoneal Space Thyroid diseases Thyroid gland |
title | The ‘Sentinel Clot’ Sign in Spontaneous Retropharyngeal Hematoma Secondary to Parathyroid Apoplexy |
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