Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage

Detalhes bibliográficos
Autor(a) principal: Sousa,Matilde Almeida e
Data de Publicação: 2022
Outros Autores: Dutra,Eduardo, Ferreira,Guida Matos
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000100033
Resumo: Abstract Spontaneous thyroid haemorrhage is rare, but it can be a potentially life-threatening condition in severe cases, due to acute upper airway compromise. We report the case of a 75-year-old patient on chronic anticoagulation therapy for atrial fibrillation, who presented with sudden painful neck bulging and dysphagia. Physical examination revealed a hard mass on the anterior left side of the neck. Preliminary laryngoscopy was normal. The diagnosis was made using ultrasonography and further characterization with computed tomography, showing haemorrhage of a thyroid nodule with capsular disruption and diffusion of the haematoma to the deep cervical spaces, causing important tracheal deviation and hypopharynx compression. The patient developed dyspnoea and ultimately required urgent hemithyroidectomy. This case also highlights the importance of having a high index of clinical suspicion and prompt imaging in patients with atypical presentations of a neck mass.
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spelling Cervical Haematoma Secondary to Spontaneous Thyroid HaemorrhageThyroid glandThyroid noduleThyroidectomyHaematomaNeck.Abstract Spontaneous thyroid haemorrhage is rare, but it can be a potentially life-threatening condition in severe cases, due to acute upper airway compromise. We report the case of a 75-year-old patient on chronic anticoagulation therapy for atrial fibrillation, who presented with sudden painful neck bulging and dysphagia. Physical examination revealed a hard mass on the anterior left side of the neck. Preliminary laryngoscopy was normal. The diagnosis was made using ultrasonography and further characterization with computed tomography, showing haemorrhage of a thyroid nodule with capsular disruption and diffusion of the haematoma to the deep cervical spaces, causing important tracheal deviation and hypopharynx compression. The patient developed dyspnoea and ultimately required urgent hemithyroidectomy. This case also highlights the importance of having a high index of clinical suspicion and prompt imaging in patients with atypical presentations of a neck mass.Sociedade Portuguesa de Radiologia e Medicina Nuclear2022-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000100033Acta Radiológica Portuguesa v.34 n.1 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000100033Sousa,Matilde Almeida eDutra,EduardoFerreira,Guida Matosinfo:eu-repo/semantics/openAccess2024-02-06T17:29:30Zoai:scielo:S2183-13512022000100033Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:33:24.818620Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
title Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
spellingShingle Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
Sousa,Matilde Almeida e
Thyroid gland
Thyroid nodule
Thyroidectomy
Haematoma
Neck.
title_short Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
title_full Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
title_fullStr Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
title_full_unstemmed Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
title_sort Cervical Haematoma Secondary to Spontaneous Thyroid Haemorrhage
author Sousa,Matilde Almeida e
author_facet Sousa,Matilde Almeida e
Dutra,Eduardo
Ferreira,Guida Matos
author_role author
author2 Dutra,Eduardo
Ferreira,Guida Matos
author2_role author
author
dc.contributor.author.fl_str_mv Sousa,Matilde Almeida e
Dutra,Eduardo
Ferreira,Guida Matos
dc.subject.por.fl_str_mv Thyroid gland
Thyroid nodule
Thyroidectomy
Haematoma
Neck.
topic Thyroid gland
Thyroid nodule
Thyroidectomy
Haematoma
Neck.
description Abstract Spontaneous thyroid haemorrhage is rare, but it can be a potentially life-threatening condition in severe cases, due to acute upper airway compromise. We report the case of a 75-year-old patient on chronic anticoagulation therapy for atrial fibrillation, who presented with sudden painful neck bulging and dysphagia. Physical examination revealed a hard mass on the anterior left side of the neck. Preliminary laryngoscopy was normal. The diagnosis was made using ultrasonography and further characterization with computed tomography, showing haemorrhage of a thyroid nodule with capsular disruption and diffusion of the haematoma to the deep cervical spaces, causing important tracheal deviation and hypopharynx compression. The patient developed dyspnoea and ultimately required urgent hemithyroidectomy. This case also highlights the importance of having a high index of clinical suspicion and prompt imaging in patients with atypical presentations of a neck mass.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
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dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Radiologia e Medicina Nuclear
publisher.none.fl_str_mv Sociedade Portuguesa de Radiologia e Medicina Nuclear
dc.source.none.fl_str_mv Acta Radiológica Portuguesa v.34 n.1 2022
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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