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BMJ Case Rep. 2010; 2010: bcr0420102893.
Published online 2010 August 3. doi:  10.1136/bcr.04.2010.2893
PMCID: PMC3028260
Unusual presentation of more common disease/injury

An unusual cause of a mediastinal mass


Primary hyperparathyroidism (PHPT) is a disorder resulting in hypercalcaemia due to autonomous over secretion of parathyroid hormone. Mediastinal parathyroid adenoma is a rare disorder which can present with a widened mediastinum on a plain film. Its always important to check calcium level in patients who present with a mediastinal mass to rule out PHPT. Recognition of this disorder is crucial to prevent long-term sequelae. The authors report an interesting case and discuss further about it, which would be of help both to a specialist and a general physician.

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