One of the most frequent cause of hypercalcemia is primary hyperparathyroidism. which can lead to systemic involvement and life-threatening conditions. We described a rare case of a parathyroid adenoma rupture with consequent bleeding and respiratory airway compression. An 84-year-old man presented to the emergency department complaining neck swelling and related dysphagia. https://leoners.shop/product-category/outdoor-dining-set/