Login Register Cart 0
Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Case Report

Spontaneous Thyroid Parenchymal Hemorrhage Causing Acute Airway Obstruction and Its Endovascular Treatment: A Case Report and Literature Review

Author(s): Esat Kaba*, Mehmet Beyazal and İsmail Atas

Volume 20, 2024

Published on: 04 May, 2023

Article ID: e220323214855 Pages: 5

DOI: 10.2174/1573405619666230322094144

Price: $65

Abstract

Introduction: Massive parenchymal hemorrhage of the thyroid gland is very rare. Some of these can reach a life-threatening level.

Case Presentation: A 70-year-old female patient approached the emergency department with swelling and redness on her neck after a routine dialysis session. In the neck computed tomography obtained, there was a massive hematoma originating from the thyroid gland parenchyma. The hematoma was causing airway compression. We performed thyroid artery embolization and within days, hematoma dimensions and compression effect disappeared without surgical treatment.

Conclusion: Massive hemorrhage of the thyroid gland parenchyma is very rare and can reach life-threatening dimensions. Effective and rapid treatment should be done. As an alternative to surgery, endovascular treatment can be life-saving.

[1]
Best CAE, Dhaliwal S, Tam S, et al. Spontaneous intrathyroidal hematoma causing airway obstruction. Medicine 2016; 95(35): e3209.
[http://dx.doi.org/10.1097/MD.0000000000003209] [PMID: 27583841]
[2]
Matilde AS, Eduardo D, Guida MF. Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage. Acta Radiol Portuguesa 2022; 34: 33-5.
[3]
Başak H, Yücel L, Hasanova A, Beton S. Management of a spontaneous thyroid nodule hemorrhage causing acute airway obstruction. Turk Arch Otorhinolaryngol 2021; 59(4): 289-91.
[http://dx.doi.org/10.4274/tao.2021.2021-5-23] [PMID: 35262046]
[4]
Mittadodla P, Kokatnur L, Rudrappa M. Acute airway obstruction due to spontaneous intrathyroid hemorrhage precipitated by anticoagulation therapy. Indian J Crit Care Med 2014; 18(12): 825-7.
[http://dx.doi.org/10.4103/0972-5229.146324] [PMID: 25538419]
[5]
Wong M, Kanapaty Y, Liew YT, Bakri A. Spontaneous thyroid haemorrhage: A cause of upper airway obstruction. Acute Med 2019; 18(4): 248-50.
[http://dx.doi.org/10.52964/AMJA.0785] [PMID: 31912057]
[6]
Marta Pérez NM, Enjuto D, Molero SS, Merino NH, García RS, et al. Cervical hematoma secondary to spontaneous rupture of a thyroid nodule. JSM Clin Case Rep 2014; 2(6): 1064.
[7]
Asbar H, Askaoui S, Rafi S, Mghari G, Ansari N. Spontaneous thyroid hematoma causing airway compression: a case report. Endocrine Abstracts 2019.
[http://dx.doi.org/10.1530/endoabs.63.P1231]
[8]
Fernando MM, Isabel FL, Belen MG, et al. Cervical spontaneous hematoma in elderly woman: case report. MOJ Surgery 2018; 6(5)
[http://dx.doi.org/10.15406/mojs.2018.06.00139]
[9]
Hristov BD, Borrego R, Harding PA, Hristov DB. A case of spontaneous postpartum thyroid hemorrhage leading to upper airway obstruction. Am J Case Rep 2016; 17: 192-5.
[http://dx.doi.org/10.12659/AJCR.895802] [PMID: 27012654]
[10]
Tsilchorozidou T, Vagropoulos I, Karagianidou C, Grigoriadis N. Huge intrathyroidal hematoma causing airway obstruction: A multidisciplinary challenge. Thyroid: official journal of the American Thyroid Association 2006; 16: 795-9.
[http://dx.doi.org/10.1089/thy.2006.16.795]
[11]
Petersen NK, Udholm S, Londero SC. Acute airway obstruction due to spontaneous intrathyroidal haemorrhage. BMJ Case Rep 2021; 14(1): e238935.
[http://dx.doi.org/10.1136/bcr-2020-238935] [PMID: 33431542]
[12]
Gunasekaran K, Rudd KM, Murthi S, Kaatz S, Lone N. Spontaneous thyroid hemorrhage on chronic anticoagulation therapy. Clin Pract 2017; 7(1): 932.
[http://dx.doi.org/10.4081/cp.2017.932] [PMID: 28243434]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy