Common carotid artery hematoma following parathyroid adenoma FNA
Open Access
- 1 October 2022
- journal article
- research article
- Published by Medical Communications Sp. z.o.o. in Journal of Ultrasonography
- Vol. 22 (91), 245-248
- https://doi.org/10.15557/jou.2022.0040
Abstract
We present a rare case of a common carotid artery wall hematoma after ultrasound-guided parathyroid fine-needle aspiration. The hematoma was detected within seconds from needle insertion, extending along the common carotid artery wall from the lower neck to the common carotid artery bifurcation, and it was quickly restricted with firm pressure. The patient only reported mild discomfort. A follow-up assessment by a vascular surgeon two hours later showed no signs of ischemic events and complete absorption of the hematoma without further clinical consequences. Physicians performing parathyroid fine-needle aspiration must be aware of this rare complication, which may be easily overlooked. Continuous meticulous sonographic surveillance during the fine needle aspiration procedure is the only way to directly diagnose this complication and apply immediate pressure to restrict it.Keywords
This publication has 10 references indexed in Scilit:
- The Current Role of Parathyroid Fine-Needle Biopsy (P-FNAB) with iPTH-Washout Concentration (iPTH-WC) in Primary Hyperparathyroidism: A Single Center Experience and Literature ReviewBiomedicines, 2022
- Fine‐needle aspiration of parathyroid adenomas: Indications as a diagnostic approachDiagnostic Cytopathology, 2020
- Hit by the wave: a case of painful Horner’s and intramural haematoma of the carotidBMJ Case Reports, 2018
- Complications after fine-needle aspiration cytology: a retrospective study of 7449 consecutive thyroid nodulesBritish Journal of Oral and Maxillofacial Surgery, 2016
- The Essentials of Parathyroid Hormone Venous SamplingCardioVascular and Interventional Radiology, 2016
- Risks and Benefits of Parathyroid Fine-Needle Aspiration with Parathyroid Hormone WashoutEndocrine Practice, 2012
- Focal common carotid artery intramural haematoma.2012
- Focal Common Carotid Artery Intramural HematomaJournal of Neuroimaging, 2011
- Systematic review of cases reporting blood extravasation-related complications after thyroid fine-needle biopsy.2010
- Subendothelial carotid hematoma after fine-needle aspiration biopsy of a solitary thyroid nodule.Journal of Ultrasound in Medicine, 2008