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01.10.2016 | case report | Ausgabe 5/2016

European Surgery 5/2016

Video-assisted mediastinoscopic removal of ectopic parathyroid adenoma combined with standard cervical exploration

European Surgery > Ausgabe 5/2016
Petr Libánský, Danylo Yershov, Svatopluk Adámek, Jan Šimonek, Martina Fialová, Jozef Kubinyi, Robert Lischke



Primary hyperparathyroidism (HPT) is one of the most common endocrine disorders. The standard treatment is surgical removal via a cervical incision. In rare cases, abnormal parathyroid tissue may be present in the mediastinum and therefore inaccessible through the standard incision.

Case report

A 57-year-old female presented in our clinic with high ionized calcium and high parathyroid hormone levels. A technetium-99m sestamibi scan showed a focal mass in the superior mediastinum. A single-stage cervical exploration and video-assisted mediastinoscopic (VAM) removal of the intrathoracic ectopic parathyroid adenoma was performed.


Our approach proved to be successful. There were no surgical complications and the patient was discharged on postoperative day 2.


We suggest that in the case of occult mediastinal hyperfunctioning parathyroid tissue, a VAM is a valuable extension of the standard explorative neck surgery.

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Hepatic hydatid cysts