Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 6, Number 2, February 2015, pages 87-90

Spontaneous Anterior Neck Hematoma Associated With Rivaroxaban Leading to Primary Hyperparathyroidism and Hypercalcemia


Figure 1.
Figure 1. CT angiogram of the neck revealing no evidence of contrast extravasation to suggest an active bleed. There is infiltration of the subcutaneous fat from the chin to lower neck consistent with a history of superficial hematoma.
Figure 2.
Figure 2. The corrected and non-corrected calcium levels. On ICU day 2, treatment was initiated for the hypercalcemia. On ICU day 5 the patient was successfully extubated.
Figure 3.
Figure 3. The PTH levels that were checked starting on ICU day 2. The level peaked on the third day and then declined within normal limits clinically correlating with decrease in anterior neck hematoma.