Spontaneous cervical and mediastinal hematoma due to rupture of inferior thyroid artery

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-30 DOI:10.1016/j.radcr.2024.11.014

Takayuki Yamada MD, PhD , Satoru Yanagaki MD, PhD , Nozomi Satani MD, PhD , Yuriko Kagaya MD , Tomoni Sato MD, PhD , Tomonori Matsuura MD, PhD , Teruyuki Sato MD, PhD , Naoya Noguchi MD, PhD , Nobuo Ohta MD, PhD

引用次数: 0

Abstract

A 62-year-old man was referred to our hospital presenting with a sore throat, dyspnea, and cervical swelling. Initial precontrast CT scans revealed a cervical and mediastinal hematoma, along with a hemothorax. Further dynamic contrast-enhanced CT scans indicated contrast media extravasation dorsal to the right thyroid gland lobe, suggesting a rupture of the right inferior thyroid artery or a parathyroid adenoma. Following endotracheal intubation, angiography confirmed extravasation from the right inferior thyroid artery. Transarterial embolization (TAE) was successfully performed using a gelatin sponge. The cervical and mediastinal hematoma were surgically excised, and the right inferior parathyroid gland was simultaneously resected. Pathological examination revealed no neoplastic components.

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甲状腺下动脉破裂所致自发性颈部及纵隔血肿

一名62岁男子因喉咙痛、呼吸困难和颈部肿胀被转介至我院。最初的CT扫描显示颈部和纵隔血肿，并伴有血胸。进一步动态增强CT扫描显示造影剂外渗至右侧甲状腺叶背侧，提示右侧甲状腺下动脉破裂或甲状旁腺瘤。经气管插管后，血管造影证实右甲状腺下动脉外渗。经动脉栓塞（TAE）成功地使用明胶海绵。手术切除颈、纵隔血肿，同时切除右侧下甲状旁腺。病理检查未见肿瘤成分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.